| NPI | 1356683353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA MARIE DEANGELIS Manager 401-300-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: RI OT01357) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |