Individual
MS. ANDREA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
ONE GARNETT LANE, NORTHERN RI PHYSICAL THERAPY, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Mailing address
ONE GARNETT LANE, NORTHERN RI PHYSICAL THERAPY, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00712
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050456866
TAX ID
—
01
—
26679
NEIGHBORHOOD PIN
RI
01
—
402512
RI BLUE CHIP
RI
01
—
6400148
UNITED HEALTH OF NEW ENGL
—
01
—
75275
RI BLUE CROSS
RI
01
—
8225
NEIGHBORHOOD PIN GROUP
RI
Enumeration date
06/07/2006
Last updated
09/22/2011
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