Individual
MR. PAUL BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 330-1428
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 443-4150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01885
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291992
BCBS
RI
01
—
412110
BLUECHIP
RI
Enumeration date
06/27/2006
Last updated
02/15/2019
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