| Rhode Island Spasticity Management | |
|
593 Eddy St Apc 6th Floor Providence RI 02903-4923 | |
| (401) 793-9131 | |
| (401) 444-2788 |
| Full Name | Rhode Island Spasticity Management |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 593 Eddy St, Providence, Rhode Island |
| Authorized Official Name and Position | Mason Gapser (OWNER) |
| Authorized Official Contact | 4013780258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhode Island Spasticity Management 65 Harwich Rd Providence RI 02906-4919 Ph: () - | Rhode Island Spasticity Management 593 Eddy St Apc 6th Floor Providence RI 02903-4923 Ph: (401) 793-9131 |
| NPI Number | 1043553480 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043553480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DO00611 (Rhode Island) | Primary |
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