Whalio Doctors

NPI 1265884597

Maxwell King, PTA

Practitioner Physical Therapy Assistant Cranston, RI

Practice location

Address
48 Moorland Avenue, Cranston, RI 02905
Phone
(401) 327-2048
Mailing address
48 Moorland Ave, Cranston, RI 02905-3513

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA01056 (RI)

Registry record

NPI
1265884597
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jul 2016
Record last updated
11 Jul 2016

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.