Provider Demographics
NPI:1497828131
Name:HARRISON, BELINDA JO (MSPT, PRPC)
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:JO
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MSPT, PRPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 PEPPER BUSH TRL
Mailing Address - Street 2:
Mailing Address - City:SAUNDERSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02874-2343
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1004 BOSTON NECK RD UNIT 11
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-1755
Practice Address - Country:US
Practice Address - Phone:401-269-9510
Practice Address - Fax:401-284-0031
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI017682251X0800X
RIRI01768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic