Provider Demographics
NPI:1871734616
Name:MULDOWNEY PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:MULDOWNEY PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MULDOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:401-349-4158
Mailing Address - Street 1:312 OLD COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-3512
Mailing Address - Country:US
Mailing Address - Phone:401-349-4158
Mailing Address - Fax:
Practice Address - Street 1:312 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-3512
Practice Address - Country:US
Practice Address - Phone:401-349-4158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1741261QP2000X
RI1748261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy