Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | PTA00993 | RI |
NPI | 1003217324 |
---|---|
Provider Name | Nicholas Miano |
First Address | Saunderstown, RI 02874-2438 |
Second Address | Saunderstown, RI 02874-2438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2014 |
Last Update Date | 05/09/2014 |