NPI | 1639404635 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL A MASING Owner 401-499-7771 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: RI 10503) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: RI 10503) |
225100000X Physical Therapist (Licence: RI PT01902) | |
Enumeration Date | 2009-10-08 |
Last Update Date | 2011-03-28 |