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Individual

MRS. ANGELA MARIE PERRY-PLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2871 POST ROAD, PREHAB SPORTS MEDICINE SERVICES, 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
PTA00472
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
402551
BLUE CHIP
RI
01
64-00223
UNITED
RI
01
7542-8
BLUE CROSS
RI
Enumeration date
06/18/2014
Last updated
06/18/2014
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