Organization
RHODE ISLAND HOSPITAL/HASBRO CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NATHAN (SPEECH LANGUAGE PATHOLOGIST)
(401) 444-0176
Entity
Organization
Contact information
Practice address
115 GEORGIA AVE, PROVIDENCE, RI 02905-4422
(401) 444-5485
(401) 444-6212
Mailing address
115 GEORGIA AVE, PROVIDENCE, RI 02905-4422
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
SP001102
RI
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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