Organization
OCEAN STATE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK LOUIS FRAUSTO PT (VP)
(401) 737-3934
Entity
Organization
Contact information
Practice address
400 BALD HILL RD, SUITE 502, WARWICK, RI 02886-1617
(401) 737-3934
(401) 737-1276
Mailing address
400 BALD HILL RD, SUITE 502, WARWICK, RI 02886-1617
(401) 737-3934
(401) 737-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000654
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25567-7
BCBS PROVIDER NUMBER
RI
Enumeration date
01/04/2007
Last updated
07/29/2010
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