Basic Information
| Provider Information | |||||||||
| NPI: | 1720212947 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | D & H THERAPY ASSOCIATES | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | 400E PUTNAM PIKE,SMITHFIELD RI 02916 | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 SMITHFIELD AVE | ||||||||
| Address2: | |||||||||
| City: | PAWTUCKET | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028603497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4017259666 | ||||||||
| FaxNumber: | 4017272750 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 PUTNAM PIKE STE E | ||||||||
| Address2: | |||||||||
| City: | SMITHFIELD | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029172408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4012333977 | ||||||||
| FaxNumber: | 4012327388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2009 | ||||||||
| LastUpdateDate: | 05/04/2009 | ||||||||
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| AuthorizedOfficialLastName: | HAVUNEN | ||||||||
| AuthorizedOfficialFirstName: | KIM | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4017259666 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0100X | N/A | N | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine | 261QX0100X | 709003141 | RI | Y | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
No ID Information.