NPI | 1578885224 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD R CHAREST President & CEO 401-769-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD08700) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI PS309) |
Enumeration Date | 2010-02-23 |
Last Update Date | 2013-01-31 |