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Organization
NORTHERN RI PHYSICAL THERAPY
Active
Organization
NORTHERN RI PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J DUBUQUE JR. MSPT (PHYSICAL THERAPIST)
(401) 949-0380
Entity
Organization
Contact information
Practice address
1 GARNETT LN, SUITE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Mailing address
1 GARNETT LN, SUITE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01833
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402381
RI BLUE CHIP
—
01
—
402508
RI BLUE CHIP
—
01
—
402512
RI BLUE CHIP
—
01
—
410188
RI BLUE CHIP
—
01
—
411376
RI BLUE CHIP
RI
01
—
640014E
UNITED HEALTH NE
—
01
—
75277
RI BLUE CROSS
RI
Enumeration date
05/28/2006
Last updated
08/22/2020
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