Healthcare Provider Details

I. General information

NPI: 1588500268
Provider Name (Legal Business Name): ANDREA PAZIENZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 WILLIAM HENRY RD
NORTH SCITUATE RI
02857-2041
US

IV. Provider business mailing address

217 WILLIAM HENRY RD
NORTH SCITUATE RI
02857-2041
US

V. Phone/Fax

Practice location:
  • Phone: 401-480-3183
  • Fax:
Mailing address:
  • Phone: 401-480-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number00659
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: