| NPI | 1881093557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DURETTE Income Manager 401-737-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 02710) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |