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Organization

MIND AND BODY REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY ANDRADE (OWNER)
40172213111
Entity
Organization

Contact information

Practice address
461 MAIN ST, PAWTUCKET, RI 02860-2913
(401) 722-1311
(401) 722-2246
Mailing address
461 MAIN ST, PAWTUCKET, RI 02860-2913
(401) 722-1311
(401) 722-2246

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/27/2016
Last updated
09/27/2016
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