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Organization
RHODE ISLAND REHABILITATION INSTITUTE P.C,
Active
Organization
RHODE ISLAND REHABILITATION INSTITUTE P.C,
Active
Other names
RI REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY SISUN MSPT (PRESIDENT/CEO)
(401) 946-4250
Entity
Organization
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 942-3960
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 942-3960
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235110073
OWNER /OP NATIONAL PIN #
—
01
—
19016
NEIGHBORHOOD HEALTH PLAN
RI
01
—
484225
AETNA
RI
01
—
64-00132
UHC
RI
01
—
7536-1
BCBSRI GROUP #
RI
01
—
CA-6711
RAILROAD MEDICARE GROUP
RI
01
—
HPAA46233
HARVARD PILGRIM HC GROUP
RI
Enumeration date
05/11/2006
Last updated
03/09/2015
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