Organization
BEYOND BASICS REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE DELSESTO PT (OWNER)
(401) 228-3939
Entity
Organization
Contact information
Practice address
940 RESERVOIR AVE, SUITE A, CRANSTON, RI 02910-4418
(401) 228-3939
(401) 398-0998
Mailing address
940 RESERVOIR AVE, SUITE A, CRANSTON, RI 02910-4418
(401) 228-3939
(401) 398-0998
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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