Organization
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ULISSE P.T. (PRESIDENT)
(401) 384-6490
Entity
Organization
Contact information
Practice address
250A CENTERVILLE ROAD, WARWICK, RI 02886
(401) 384-6490
(401) 384-6493
Mailing address
250A CENTERVILLE ROAD, WARWICK, RI 02886
(401) 384-6490
(401) 384-6493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
12/18/2014
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