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Organization
PREHAB SPORTS MEDICINE SERVICES INC
Active
Organization
PREHAB SPORTS MEDICINE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY J MORGAN (OFFICE MGR)
(401) 463-3060
Entity
Organization
Contact information
Practice address
2871 POST RD, WARWICK, RI 02886-3116
(401) 463-3060
(401) 732-1045
Mailing address
2871 POST RD, WARWICK, RI 02886-3116
(401) 463-3060
(401) 732-1045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6400223
UNITED HEALTH
RI
01
—
75428
BLUE CROSS
RI
Enumeration date
04/06/2007
Last updated
01/22/2014
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