NPI | 1710367255 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY VINCENT Owner/Physical Therapist 401-667-4965 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: RI PT02055) |
Enumeration Date | 2015-05-30 |
Last Update Date | 2021-03-20 |