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NPI Code Detail

MEDICARE: KIRSTIE URGASAN DPT

MEDICARE: KIRSTIE URGASAN DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT03113RI

General Provider Information

NPI Number : 1093297541
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRSTIE URGASAN DPT
Provider Business Mailing Address
First Line : 401 MIDDLE RD
Second Line :
City : PORTSMOUTH
State : RI
Zip : 02871-1247
Country : US
Telephone Number : 401-845-9787
Fax Number :
Provider Business Practice Location Address
First Line : 546 MAIN ST
Second Line :
City : COVENTRY
State : RI
Zip : 02816-7852
Country : US
Telephone Number : 401-821-6837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2018
Last Update Date : 08/31/2018

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Directions to “ KIRSTIE URGASAN DPT” Practice Location

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