MEDICARE: MRS. KRISTIN ANN FLORI 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
1	225100000X	Physical Therapist	01531	RI
2	225100000X	Physical Therapist	008805	CT

General Provider Information

NPI Number	:	1588941769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN ANN FLORI PT

Provider Business Mailing Address
First Line	:	555 LEWIS FARM RD
Second Line	:
City	:	GREENE
State	:	RI
Zip	:	02827-2125
Country	:	US
Telephone Number	:	401-385-9071
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 CENTERVILLE RD
Second Line	:	SUITE 101
City	:	WARWICK
State	:	RI
Zip	:	02886-4486
Country	:	US
Telephone Number	:	401-737-4581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	11/15/2011

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