Organization
MIGNACCA PHYSICAL THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A. MIGNACCA PT (OWNER)
(401) 339-6560
Entity
Organization
Contact information
Practice address
697 WILLETT AVE, RIVERSIDE, RI 02915-2642
(401) 228-7678
(401) 228-7681
Mailing address
697 WILLETT AVE, RIVERSIDE, RI 02915-2642
(401) 228-7678
(401) 228-7681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01117
RI
Other
Enumeration date
04/10/2010
Last updated
10/06/2016
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