Individual
ROBERT JASON GRUTTADAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
49 SEEKONK ST, PROVIDENCE, RI 02906-5176
(401) 230-1126
(401) 230-1128
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
Primary
PT02498
RI
Other
Enumeration date
08/10/2012
Last updated
12/07/2017
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