| NPI | 1841853132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA LANDRY Doctor Of Physical Therapy 401-999-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2022-01-28 |