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Organization

SHORE GOLF PERFORMANCE & PHYSICAL THERAPY

Active
Other names
Shore Golf Performance
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S. EDWARDS DPT (PHYSICAL THERAPIST)
(252) 398-7457
Entity
Organization

Contact information

Practice address
69 BURLINGAME RD, CRANSTON, RI 02921-2904
(252) 398-7457
Mailing address
5600 POST RD, SUITE 114 - PMB #362, EAST GREENWICH, RI 02818
(252) 398-7457

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
04/25/2022
Last updated
04/25/2022
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