Individual
ANTHONY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
215 TOLL GATE RD, SUITE 205, WARWICK, RI 02886-4458
(401) 773-7272
(401) 773-7273
Mailing address
215 TOLL GATE RD, SUITE 205, WARWICK, RI 02886-4458
(401) 773-7272
(401) 773-7273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00819
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA00819
STATE LICENSE
RI
Enumeration date
12/08/2011
Last updated
12/08/2011
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