Provider Demographics
NPI:1275767238
Name:D & H THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:D & H THERAPY ASSOCIATES
Other - Org Name:ONE BUTLER AVENUE PROVIDENCE RI 02906
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVUNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-725-9600
Mailing Address - Street 1:100 SMITHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3497
Mailing Address - Country:US
Mailing Address - Phone:401-725-9666
Mailing Address - Fax:401-727-2750
Practice Address - Street 1:1 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5178
Practice Address - Country:US
Practice Address - Phone:401-273-5031
Practice Address - Fax:401-273-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-06
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI709003141261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine