| NPI | 1639495278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD TYSZKOWSKI President 401-490-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI MD14078) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: RI 346) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: RI MD14078) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-11-14 |