Individual
TIMOTHY HAITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2707
RI
Other
Enumeration date
08/07/2014
Last updated
02/11/2015
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