Provider Demographics
NPI:1073786042
Name:SANMARTINO, NICHOLAS JOSEPH JR (BS IN PT)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:SANMARTINO
Suffix:JR
Gender:M
Credentials:BS IN PT
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Mailing Address - Street 1:300 TOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4814
Mailing Address - Country:US
Mailing Address - Phone:401-295-8500
Mailing Address - Fax:401-295-8536
Practice Address - Street 1:300 TOWER HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4814
Practice Address - Country:US
Practice Address - Phone:401-295-8500
Practice Address - Fax:401-295-8536
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-10-08
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Provider Licenses
StateLicense IDTaxonomies
RI1193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist