# HEALY PHYSICAL THERAPY AND SPORTS MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811943558
- **Authorized official:** LIZ COSTA (MANAGER)
- **Authorized official phone:** (401) 438-0905

## Contact information

- **Practice address:** 927B WARREN AVE, EAST PROVIDENCE, RI 02914-1423
- **Practice address phone:** (401) 438-0905
- **Practice address fax:** (401) 383-7946
- **Mailing address:** 927B WARREN AVE, EAST PROVIDENCE, RI 02914-1423
- **Mailing address phone:** (401) 438-0905
- **Mailing address fax:** (401) 438-0903

## Taxonomy

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

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/17/2018