Individual
MR. MICHAEL G HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERPIST MS
Contact information
Practice address
ONE GARNETT LANE, NORTHERN RI PHYSICAL THERAPY STE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Mailing address
ONE GARNETT LANE, NORTHERN RI PHYSICAL THERAPY STE 3, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01150
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007001715
UPIN FED MEDICARE
—
01
—
007001716
UPIN FED MEDICARE
—
01
—
007010144
UPIN FED MEDICARE
—
01
—
007056176
UPIN FED MEDICARE
—
01
—
26679
RI NEIGHBORHOOD PIN
—
01
—
402381
RI BLUE CHIP
RI
01
—
402508
RI BLUE CHIP
—
01
—
402512
RI BLUE CHIP
—
01
—
410188
RI BLUE CHIP
—
01
—
411376
RI BLUE CHIP
—
01
—
6400148
UNITED HEALTH NE
—
01
—
75277
RI BLUE CROSS
RI
01
—
8225
RI NEIGHBORHOOD PIN GROUP
—
Enumeration date
06/26/2006
Last updated
09/22/2011
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