# WARWICK AVENUE PHYSICAL THERAPY, INC

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

## Provider details

- **NPI number:** 1972714566
- **Authorized official:** MATTHEW SMITH (PRESIDENT)
- **Authorized official phone:** (401) 941-0494

## Contact information

- **Practice address:** 1030 WARWICK AVE, WARWICK, RI 02888-3655
- **Practice address phone:** (401) 941-0494
- **Mailing address:** 1030 WARWICK AVE, WARWICK, RI 02888-3655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT01500 | RI | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 06/09/2010
