Healthcare Provider Details

I. General information

NPI: 1356683353
Provider Name (Legal Business Name): HORSEPOWER THERAPEUTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 03/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 DONALD POTTER RD
WEST GREENWICH RI
02817-2265
US

IV. Provider business mailing address

55 DONALD POTTER RD
WEST GREENWICH RI
02817-2265
US

V. Phone/Fax

Practice location:
  • Phone: 401-300-6433
  • Fax:
Mailing address:
  • Phone: 401-300-6433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberOT01357
License Number StateRI

VIII. Authorized Official

Name: DINA MARIE DEANGELIS
Title or Position: MANAGER
Credential: OTR
Phone: 401-300-6433