| NPI | 1538393731 |
|---|---|
| Other Name | 2 WAKE ROBIN ROAD,LINCOL RI 02865 |
| Entity Type | Organization |
| Authorized Contact | KIM HAVUNEN Owner 401-725-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: n/a) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |