Healthcare Provider Details

I. General information

NPI: 1497148787
Provider Name (Legal Business Name): PAMELA PINHEIRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 03/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 SLOCUM RD
SAUNDERSTOWN RI
02874-1605
US

IV. Provider business mailing address

710 SLOCUM RD
SAUNDERSTOWN RI
02874-1605
US

V. Phone/Fax

Practice location:
  • Phone: 401-667-0401
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT01765
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: