Individual
MR. MATTHEW JAMES PUOPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
2871 POST ROAD, WARWICK, RI 02886
(401) 463-3060
Mailing address
2871 POST ROAD, WARWICK, RI 02886-3076
(401) 463-3060
(401) 732-1045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402551
BLUE CROSS
RI
01
—
6400223
UNITED
RI
01
—
75428
BLUE CROSS
RI
Enumeration date
03/14/2016
Last updated
03/14/2016
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