| NPI | 1871766691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GEORGE WEISMAN Member/Owner 401-885-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2009-05-27 |