MEDICARE: TENTE PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	627	RI

General Provider Information

NPI Number	:	1134391113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENTE PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	1051 TEN ROD RD
Second Line	:	SUITE B - 2/2
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4163
Country	:	US
Telephone Number	:	401-294-0455
Fax Number	:	401-583-0027

Provider Business Practice Location Address
First Line	:	1051 TEN ROD RD
Second Line	:	SUITE B - 2/2
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-4163
Country	:	US
Telephone Number	:	401-294-0455
Fax Number	:	401-583-0027

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROBERT K TENTE
Credential	:	P.T.
Telephone Number	:	401-294-0455

Provider Enumeration Date	:	03/30/2008
Last Update Date	:	03/30/2008

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