| NPI | 1740432210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD P BRADY Owner 401-272-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: RI PT01379) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |