# BRISTOL COUNTY PHYSICAL THERAPY & SPORTS REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bristol County Physical Therapy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396836748
- **Authorized official:** MR. JAMES C. KOVOLYAN II PT (DIRECTOR)
- **Authorized official phone:** (401) 254-1105

## Contact information

- **Practice address:** 1180 HOPE ST, BRISTOL, RI 02809-1126
- **Practice address phone:** (401) 254-1105
- **Practice address fax:** (401) 254-1026
- **Mailing address:** PO BOX 20372, CRANSTON, RI 02920-0944
- **Mailing address phone:** (401) 785-1016
- **Mailing address fax:** (401) 785-1018

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020