| NPI | 1831550250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE MONIZ Credentialing Specialist 401-433-4172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2016-03-12 |
| Last Update Date | 2025-11-26 |