Organization
JOHN WARD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA M PELOSO (OFFICE MANAGER)
(401) 364-0130
Entity
Organization
Contact information
Practice address
4259 OLD POST RD, CHARLESTOWN, RI 02813-2571
(401) 364-0130
(401) 364-0130
Mailing address
4259 OLD POST RD, CHARLESTOWN, RI 02813-2571
(401) 364-0130
(401) 364-0130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709003312
PTAN
RI
Enumeration date
03/26/2007
Last updated
05/01/2013
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