# ISLAND PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westerly Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295754232
- **Authorized official:** TINA B. SLESIONA M.S.P.T. (OWNER)
- **Authorized official phone:** (401) 315-2995

## Contact information

- **Practice address:** 19 GROVE AVENUE, WESTERLY, RI 02891
- **Practice address phone:** (401) 315-2995
- **Practice address fax:** (401) 315-2996
- **Mailing address:** 19 GROVE AVENUE, WESTERLY, RI 02891
- **Mailing address phone:** (401) 315-2995
- **Mailing address fax:** (401) 315-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT01004 | RI | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 05/01/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 709003969 | GROUP | RI |