Healthcare Provider Details

I. General information

NPI: 1427404078
Provider Name (Legal Business Name): RHODE ISLAND LIMB CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 VALLEY RD UNIT 101
MIDDLETOWN RI
02842-6401
US

IV. Provider business mailing address

1559 ELMWOOD AVE
CRANSTON RI
02910-3845
US

V. Phone/Fax

Practice location:
  • Phone: 401-941-9230
  • Fax: 401-941-6339
Mailing address:
  • Phone: 401-941-6230
  • Fax: 401-941-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN R TEOLI
Title or Position: PRESIDENT
Credential: CPO
Phone: 401-941-6230