Form & Function Physical Therapy and Sports Medicine LLC

NPI #1629486550 in North Kingstown, Rhode Island

Provider Information

NPI Number: 1629486550
Entity Type: Organization
Organization Name: Form & Function Physical Therapy and Sports Medicine LLC
Primary Specialty: Specialist
Enumeration Date: Jul 23, 2014
Last Updated: Jan 31, 2018

Practice Location

Address: 250 SCRABBLETOWN RD
City: North Kingstown
State: Rhode Island
ZIP Code: 02852-3016
Phone: (617) 326-3008

Authorized Official

Name: GUERRINO BONI
Title: OWNER
Phone: (401) 465-8244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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