Individual
RUSTOM JOHN A ORDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
535 CENTERVILLE RD STE 101, WARWICK, RI 02886-4376
(401) 737-4581
Mailing address
535 CENTERVILLE RD STE 101, WARWICK, RI 02886-4376
(401) 737-4581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03386
RI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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