# ADVANCE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1891163242
- **Authorized official:** TINA SLESIONA PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (401) 315-2995

## Contact information

- **Practice address:** 116 GRANITE ST STE D, WESTERLY, RI 02891-2486
- **Practice address phone:** (401) 315-2995
- **Practice address fax:** (401) 315-2996
- **Mailing address:** 116 GRANITE ST STE D, WESTERLY, RI 02891-2486
- **Mailing address phone:** (401) 315-2995
- **Mailing address fax:** (401) 315-2996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 01004 | RI | Yes |

## Other

- **Enumeration date:** 09/02/2015
- **Last updated:** 09/02/2015
