Healthcare Provider Details

I. General information

NPI: 1235448739
Provider Name (Legal Business Name): FRANK N MOROSKY P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EVERGREEN DR
EAST PROVIDENCE RI
02914-1506
US

IV. Provider business mailing address

1 EVERGREEN DR
EAST PROVIDENCE RI
02914-1506
US

V. Phone/Fax

Practice location:
  • Phone: 401-438-3250
  • Fax:
Mailing address:
  • Phone: 401-438-3250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number00839
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: