| NPI | 1679337380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK P CASIMIRO Owner/Physical Therapist 401-578-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |