Individual
BRYAN RAKSNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
73 VALLEY RD, MIDDLETOWN, RI 02842-5234
(401) 289-2170
(401) 289-2634
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12866
CT
225100000X
Physical Therapist
Primary
PT03795
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12866
LICENSE NUMBER
CT
01
—
PT03795
RI PT LICENSE
RI
Enumeration date
11/05/2020
Last updated
05/13/2024
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