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Organization
SPORT & SPINE PHYSICAL THERAPY INC
Active
Organization
SPORT & SPINE PHYSICAL THERAPY INC
Active
Other names
S Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN S MCGLOIN (PRESIDENT)
(401) 823-8856
Entity
Organization
Contact information
Practice address
328 COWESETT AVE, SUITE 6, WEST WARWICK, RI 02893-2248
(401) 823-8856
(401) 826-8234
Mailing address
328 COWESETT AVE, SUITE 6, WEST WARWICK, RI 02893-2248
(401) 823-8856
(401) 826-8234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
10/24/2011
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