Individual
JOMAR FARRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 CHARLES ST, PROVIDENCE, RI 02904-2269
(401) 276-0800
(401) 276-0808
Mailing address
535 CENTERVILLE RD STE 101, WARWICK, RI 02886-4376
(401) 737-6011
(401) 737-4811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02968
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT02968
STATE OF RI LICENSED DOCTOR OF PHYSICAL THERAPY
RI
Enumeration date
05/17/2017
Last updated
05/17/2017
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