| NPI | 1891163242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SLESIONA Physical Therapist 401-315-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI 01004) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |