Individual
STEVEN N MAURICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BLDG, EAST PROVIDENCE, RI 02914-5300
(401) 435-2288
(401) 435-2282
Mailing address
512 CRANDALL ROAD, TIVERTON, RI 02878
(401) 692-7285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00701
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29621
BLUE CROSS
RI
01
—
409024
BLUECIP RI IND. ID #
RI
01
—
6590042151
MEDICARE
RI
Enumeration date
05/15/2006
Last updated
12/23/2013
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