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Organization

MADDY'S MED-CLINICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMERICO TESTA DC (OWNER)
(401) 451-5635
Entity
Organization

Contact information

Practice address
1239 HARTFORD AVE, JOHNSTON, RI 02919-7137
(401) 451-5635
(401) 451-5636
Mailing address
1239 HARTFORD AVE, JOHNSTON, RI 02919-7137
(401) 451-5635
(401) 451-5636

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Enumeration date
11/12/2020
Last updated
02/04/2021
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