MEDICARE: VHARI NEALE

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	225200000X	Physical Therapy Assistant	00788	RI
2	225200000X	Physical Therapy Assistant	08933	OR

General Provider Information

NPI Number	:	1922440239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VHARI NEALE

Provider Business Mailing Address
First Line	:	981 KINGSTOWN RD
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-3042
Country	:	US
Telephone Number	:	401-789-3006
Fax Number	:

Provider Business Practice Location Address
First Line	:	981 KINGSTOWN RD
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02879-3042
Country	:	US
Telephone Number	:	401-789-3006
Fax Number	:

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

Provider Enumeration Date	:	07/28/2013
Last Update Date	:	07/28/2013

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Directions to “ VHARI NEALE ” Practice Location

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