Individual
MATTHEW PHOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 525-2529
Mailing address
107 WHITEWOOD DR, CRANSTON, RI 02920-5900
(401) 383-9307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01663
RI
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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