Individual
MR. ERIC D ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1181 AQUIDNECK AVE, OLYMPIC PHYSICIAL THERAPY, MIDDLETOWN, RI 02842
(401) 845-0840
(401) 845-0842
Mailing address
1181 AQUIDNECK AVE, OLYMPIC PHYSICIAL THERAPY, MIDDLETOWN, RI 02842
(401) 845-0840
(401) 845-0842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02109
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT02109
MEDICARE ID-TYPE UNSPECIFIED
RI
Enumeration date
08/30/2007
Last updated
02/02/2009
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