Healthcare Provider Details

I. General information

NPI: 1891869830
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 POST RD SUITE 8
WARWICK RI
02888-3265
US

IV. Provider business mailing address

1160 POST RD SUITE 8
WARWICK RI
02888-3265
US

V. Phone/Fax

Practice location:
  • Phone: 401-941-9111
  • Fax: 401-941-5906
Mailing address:
  • Phone: 401-941-9111
  • Fax: 401-941-5906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateRI

VIII. Authorized Official

Name: MS. TANIA CARMELA MASELLI
Title or Position: OCCUPATIONAL THEARPIST
Credential: MS,OTRL
Phone: 401-941-9111