Organization
THE MIRIAM HOSPITAL OUTPATIENT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELICA BARAJAS (PHYSICAL THERAPIST ASSISTANT)
(401) 793-4080
Entity
Organization
Contact information
Practice address
195 COLLYER ST, PROVIDENCE, RI 02904-1869
(401) 793-4080
Mailing address
33 OAKRIDGE RD, NORTH SCITUATE, RI 02857-1157
(401) 261-2082
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
00816
RI
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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