Provider Demographics
NPI:1023197720
Name:MORRONE, KAREN ANN (PT LIC DAC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:MORRONE
Suffix:
Gender:F
Credentials:PT LIC DAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 WAMPANOAG TRAIL
Mailing Address - Street 2:SUITE 301
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02915
Mailing Address - Country:US
Mailing Address - Phone:401-490-2275
Mailing Address - Fax:401-490-2276
Practice Address - Street 1:250 WAMPANOAG TRAIL
Practice Address - Street 2:SUITE 301
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02915
Practice Address - Country:US
Practice Address - Phone:401-490-2275
Practice Address - Fax:401-490-2276
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA000158171100000X
RI1041225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI277053OtherBC
RI403694OtherBCHIP