Provider Demographics
NPI:1548227200
Name:POIRIER, WILLIAM J (PT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:POIRIER
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:1181 AQUIDNECK AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-5255
Mailing Address - Country:US
Mailing Address - Phone:401-845-0840
Mailing Address - Fax:401-619-3752
Practice Address - Street 1:1808 MAIN RD
Practice Address - Street 2:
Practice Address - City:TIVERTON
Practice Address - State:RI
Practice Address - Zip Code:02878-4625
Practice Address - Country:US
Practice Address - Phone:401-625-1539
Practice Address - Fax:401-625-9856
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2017-10-31
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Provider Licenses
StateLicense IDTaxonomies
RIPT00599225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIPT00599OtherTRI-CARE
RI64-00296OtherUNITED HEALTH
RI402473OtherBLUE CHIP RI
RI22645-3OtherBLUE CROSS BLUE SHEILD
RI13859OtherNEIGHBORHOOD HEALTH PLAN
RI22645-3OtherBLUE CROSS BLUE SHEILD