Individual provider · NPI-1

Matthew Baker

Physical Therapy Assistant · Warwick, RI

NPI number1821808197
StatusActive
Last updated in NPPESJan 9, 2025

Details

NPI
1821808197
Entity type
Individual (NPI-1)
Name
Matthew Baker
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 9, 2025
Certification date
Jan 9, 2025
Last updated
Jan 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA01502RIYes

Practice location

1139 Main Ave
Warwick, RI 02886-1940

Phone 401-739-6600

Mailing address

52 Whispering Pines Dr
Cranston, RI 02921-3002

Phone 401-258-6093

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