Organization
NORTHERN RHODE ISLAND COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIAN E MACDONNELL JR. (EXECUTIVE DIRECTOR)
(401) 658-5790
Entity
Organization
Contact information
Practice address
2352 MENDON RD, UNIT 6, CUMBERLAND, RI 02864-3715
(401) 658-5790
(401) 658-4012
Mailing address
2352 MENDON RD, UNIT 6, CUMBERLAND, RI 02864-3715
(401) 658-5790
(401) 658-4012
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08120
—
RI
Enumeration date
02/09/2007
Last updated
01/30/2008
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