Organization
ELITE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A NULA MSPT (OWNER/MSPT)
(401) 737-6011
Entity
Organization
Contact information
Practice address
285 GOVERNOR ST, PROVIDENCE, RI 02906-3237
(401) 276-0800
(401) 276-0808
Mailing address
535 CENTERVILLE RD, SUITE 101, WARWICK, RI 02886-4376
(401) 737-4581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01641
RI
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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