Provider Demographics
NPI:1790994168
Name:RUGGIERI JONES, CELESTE ANN (MS, PT)
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:ANN
Last Name:RUGGIERI JONES
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8269
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0269
Mailing Address - Country:US
Mailing Address - Phone:401-339-4262
Mailing Address - Fax:401-462-5386
Practice Address - Street 1:25 W INDEPENDENCE WAY
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:RI
Practice Address - Zip Code:02881-1124
Practice Address - Country:US
Practice Address - Phone:401-339-4262
Practice Address - Fax:401-462-5386
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11033225100000X
RIPT01119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist