| NPI | 1649526286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA BARAJAS Physical Therapist Assistant 401-793-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: RI 00816) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |