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Organization
OCEAN STATE PHYSICAL THERAPY, INC.
Active
Organization
OCEAN STATE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK LOUIS FRAUSTO PT (VP)
(401) 737-3934
Entity
Organization
Contact information
Practice address
400 BALD HILL RD, SUITE 502, WARWICK, RI 02886-1617
(401) 737-3934
(401) 737-1276
Mailing address
400 BALD HILL RD, SUITE 502, WARWICK, RI 02886-1617
(401) 737-3934
(401) 737-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000654
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25567-7
BCBS PROVIDER NUMBER
RI
Enumeration date
01/04/2007
Last updated
07/29/2010
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