Organization
PREMIER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN JON GWALTNEY MSPT (OWNER/PHYSICAL THERAPIST)
(401) 596-1616
Entity
Organization
Contact information
Practice address
50 AIRPORT RD, WESTERLY, RI 02891-3402
(401) 596-1616
(401) 596-1650
Mailing address
50 AIRPORT RD, WESTERLY, RI 02891-3402
(401) 596-1616
(401) 596-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01993
RI
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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