NPI 1033286877

Kenneth Tetelbaum, PTA

Practitioner Physical Therapy Assistant Providence, RI

Practice location

Address: 593 Eddy St, Providence, RI 02903-4923
Phone: (401) 444-8661
Mailing address: 9 Chestnut St, Narragansett, RI 02882-3903

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA00356 (RI)

Other Physical Therapy Assistant providers in Rhode Island →

Registry record

NPI: 1033286877
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.