Healthcare Provider Details

I. General information

NPI: 1396954517
Provider Name (Legal Business Name): CARYN HEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WOODLAND DR
COVENTRY RI
02816-6716
US

IV. Provider business mailing address

8 BISCUIT HILL RD
FOSTER RI
02825-1200
US

V. Phone/Fax

Practice location:
  • Phone: 401-826-2000
  • Fax:
Mailing address:
  • Phone: 401-397-3830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA00627
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: