Basic Information
| Provider Information | |||||||||
| NPI: | 1093396335 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DENISON | ||||||||
| FirstName: | YOSHIMITSU | ||||||||
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| Mailing Information | |||||||||
| Address1: | 249 MILLCREEK DR | ||||||||
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| City: | NORTH KINGSTOWN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028523318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607109458 | ||||||||
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| Practice Location | |||||||||
| Address1: | 290 BRANCH AVE | ||||||||
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| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029042713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017228880 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2021 | ||||||||
| LastUpdateDate: | 04/19/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | RI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.