MEDICARE: MR. ROBERT K. TENTE 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	PT 627	RI

General Provider Information

NPI Number	:	1639109168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT K. TENTE PT

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	07/08/2007

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