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Organization
THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION
Active
Organization
THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELICA BARAJAS (PHYSICAL THERAPIST ASSISTANT)
(401) 793-4080
Entity
Organization
Contact information
Practice address
195 COLLYER ST, PROVIDENCE, RI 02904-1869
(401) 793-4080
Mailing address
33 OAKRIDGE RD, NORTH SCITUATE, RI 02857-1157
(401) 261-2082
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
00816
RI
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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