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NPI Code Detail

MEDICARE: PATRICK DAVIN PT, ATC, CSCS

MEDICARE: PATRICK DAVIN PT, ATC, CSCS
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 Therapist19316MA

General Provider Information

NPI Number : 1336426923
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK DAVIN PT, ATC, CSCS
Provider Business Mailing Address
First Line : 4 RICHMOND SQ
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-5117
Country : US
Telephone Number : 401-433-4172
Fax Number : 401-433-0612
Provider Business Practice Location Address
First Line : 146 MACARTHUR BLVD
Second Line :
City : BUZZARDS BAY
State : MA
Zip : 02532-3902
Country : US
Telephone Number : 508-496-0863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2011
Last Update Date : 03/04/2026

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