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Organization
SAKONNET PHYSICAL THERAPY, INC
Active
Organization
SAKONNET PHYSICAL THERAPY, INC
Active
Other names
Jessica B Chaves
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA BROOKE CHAVES RPT (PHYSICAL THERAPIST PRESIDENT)
(401) 624-4743
Entity
Organization
Contact information
Practice address
31 SHOVE STREET, TIVERTON, RI 02878-1029
(401) 624-4743
(401) 624-9152
Mailing address
31 SHOVE STREET, TIVERTON, RI 02878-1029
(401) 624-4743
(401) 624-9152
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT01579
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233358
BCBS
—
01
—
407329
BLUE CHIP
—
Enumeration date
03/22/2007
Last updated
04/29/2015
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