PROVIDENT PAIN AND WELLNESS CLINIC

Pain Medicine (Physical Medicine & Rehabilitation) Physician

NPI: 1639404635Organization

Specialties, Licenses & Credentials

Anesthesiology Physician

Anesthesiology

Code: 207L00000X

10503(RI)

Physical Therapist

Physical Therapist

Code: 225100000X

PT01902(RI)

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary

Physical Medicine & Rehabilitation — Pain Medicine

Code: 2081P2900X

10503(RI)

Contact & Hours

Address: 19 FRIENDSHIP ST, SUITE 160
NEWPORT, RI 02840
Phone: (401) 499-7771

Quick Facts

NPI: 1639404635
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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