Provider Demographics
NPI:1225298953
Name:KARREN MORRONE DAC MS PT LLC
Entity Type:Organization
Organization Name:KARREN MORRONE DAC MS PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MORRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DAC, MS, PT
Authorized Official - Phone:401-490-2275
Mailing Address - Street 1:250 WAMPANOAG TRL
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2218
Mailing Address - Country:US
Mailing Address - Phone:401-490-2275
Mailing Address - Fax:401-490-2276
Practice Address - Street 1:250 WAMPANOAG TRL
Practice Address - Street 2:SUITE 301
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2218
Practice Address - Country:US
Practice Address - Phone:401-490-2275
Practice Address - Fax:401-490-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty