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Organization

NORTHERN RI PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS J DUBUQUE JR. MSPT (PHYSICAL THERAPIST)
(401) 949-0380
Entity
Organization

Contact information

Practice address
1 GARNETT LN, SUITE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Mailing address
1 GARNETT LN, SUITE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01833
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
402381
RI BLUE CHIP
01
402508
RI BLUE CHIP
01
402512
RI BLUE CHIP
01
410188
RI BLUE CHIP
01
411376
RI BLUE CHIP
RI
01
411376
RI BLUE CHIP
01
640014E
UNITED HEALTH NE
01
75277
RI BLUE CROSS
RI
Enumeration date
05/28/2006
Last updated
08/22/2020
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