Doctor Name: | DR. AMANDA BAIR |
NPI Number: | 1881939692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., DPT |
License Number: | 02362 |
Business Practice Address: | 610 Smithfield Rd North Providence, RI - 029043820 |
Business Phone Number: | 4013536300 |
Business Fax Number: | |
Mailing Address: | 1776 Bicentennial Way, Apt. F3 NORTH PROVIDENCE |
State: | RI |
Postal Code: | 029111300 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/05/2012 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02362 |
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 |