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NPI Code Detail

MEDICARE: ROBERT LOUIS CORRIEA MS PT

MEDICARE: ROBERT LOUIS CORRIEA MS PT
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1408243OTHERRIBLUE CHIP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3232472OTHERRIBCBS
442240177OTHERRINEIGHBORHOOD HEALTH
56400187OTHERRIUNITED HEALTHCARE

General Provider Information

NPI Number : 1295807998
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT LOUIS CORRIEA MS PT
Provider Business Mailing Address
First Line : 3445 POST ROAD
Second Line : J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR
City : WARWICK
State : RI
Zip : 02886-7147
Country : US
Telephone Number : 401-739-2700
Fax Number : 401-737-8907
Provider Business Practice Location Address
First Line : 3445 POST ROAD
Second Line : J ARTHUR TRUDEAU MEMORIAL CENTER ATTN KIM RUELLE HR
City : WARWICK
State : RI
Zip : 02886-7147
Country : US
Telephone Number : 401-739-2700
Fax Number : 401-737-8907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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