Provider Demographics
NPI:1760715189
Name:DONG, XIAOHUA
Entity Type:Individual
Prefix:MS
First Name:XIAOHUA
Middle Name:
Last Name:DONG
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 1:72 W SHORE RD
Mailing Address - Street 2:UNIT 102
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02889-1147
Mailing Address - Country:US
Mailing Address - Phone:401-219-2365
Mailing Address - Fax:
Practice Address - Street 1:72 W SHORE RD
Practice Address - Street 2:UNIT 102
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02889-1147
Practice Address - Country:US
Practice Address - Phone:401-219-2365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2011-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02252225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist