Doctor Name: | GREGORY P VESCERA |
NPI Number: | 1275552499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS, MPT |
License Number: | PT01858 |
Business Practice Address: | 927 Warren Ave East Providence, RI - 029141423 |
Business Phone Number: | 4014380905 |
Business Fax Number: | 4013837946 |
Mailing Address: | 55 Indian Run Trl, SMITHFIELD |
State: | RI |
Postal Code: | 029172134 |
Phone Number: | 4019524991 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT01858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |