| NPI | 1225169022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M HAVUNEN Executive Director 401-725-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-03-19 |