# RENEW PHYSICAL THERAPY & WELLNESS STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114371358
- **Authorized official:** JAVID CALCATTI (MEDICAL DIRECTOR)
- **Authorized official phone:** (401) 952-8392

## Contact information

- **Practice address:** 1630 MINERAL SPRING AVE STE 6-7, NORTH PROVIDENCE, RI 02904-4043
- **Practice address phone:** (401) 400-5282
- **Mailing address:** 1630 MINERAL SPRING AVE STE 6-7, NORTH PROVIDENCE, RI 02904-4043
- **Mailing address phone:** (401) 400-5282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2016
- **Last updated:** 05/13/2016