Organization
WHOLE HEALTH PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA J PELOQUIN (ACCOUNT MANAGER)
(401) 722-2225
Entity
Organization
Contact information
Practice address
409 EAST AVE, SUITE 110, PAWTUCKET, RI 02860-5265
(401) 722-2225
(401) 722-2235
Mailing address
409 EAST AVE, SUITE 110, PAWTUCKET, RI 02860-5265
(401) 722-2225
(401) 722-2235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00502
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06400314
UNITED HEALTHCARE
RI
01
—
4259
NEIGHBORHOOD HELATH PLAN
RI
Enumeration date
08/22/2006
Last updated
01/22/2008
Update your record
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