| NPI | 1306118021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN AARON PT A 1401-654-7019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: RI PTA00756) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-02-06 |