Provider Demographics
NPI:1346855335
Name:KAREEMO, KALEE
Entity Type:Individual
Prefix:
First Name:KALEE
Middle Name:
Last Name:KAREEMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 MENDON RD.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864
Mailing Address - Country:US
Mailing Address - Phone:401-333-9787
Mailing Address - Fax:401-333-9785
Practice Address - Street 1:1764 MENDON RD.
Practice Address - Street 2:SUITE 6
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864
Practice Address - Country:US
Practice Address - Phone:401-333-9787
Practice Address - Fax:401-333-9785
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT03319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist