| NPI | 1225218563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI LEE IALONGO GILLETTE Owner/ Practioner 401-954-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 1253) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2007-11-04 |