| NPI | 1336125988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN NELSON Patient Accounts 401-385-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: RI PTA00104) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-08-22 |