Organization
PRIMAL PHYSICAL THERAPY & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DAVID SWENSON DPT (PHYSICAL THERAPIST, OWNER)
(508) 277-5233
Entity
Organization
Contact information
Practice address
25 CORONADO RD, WARWICK, RI 02886-1404
(508) 277-5233
Mailing address
775 WILLIAMSBURG CIR, WARWICK, RI 02886-1741
(508) 277-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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