| Organization Name: | SERRA PHYSICAL THERAPY |
| NPI Number: | 1093057770 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY MARIE SERRA (PHYSICAL THERAPIST/OWNER/MEMBER) |
| Mailing Address: | 60 Bay Spring Ave A2 Barrington |
| State: | RI US |
| Postal Code: | 028061384 |
| Phone Number: | 4012892553 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2013 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT01462 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |