| NPI | 1295754232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA B. SLESIONA Owner 401-315-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01004) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-05-01 |