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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW BOCCANFUSO, PTA

Active Sole Proprietor

MR. MATTHEW BOCCANFUSO, PTA is a Physical Therapy Assistant healthcare provider located in OAKLAND, Rhode Island. NPI 1487473955 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · OAKLAND, RI

Registration Details

NPI Number
1487473955
Provider Type
Individual
Gender
Male
NPI Issued
Oct 10, 2024 (1.7990831007696 yrs)
Last Updated
Oct 10, 2024
License
PTA01042 (RI)
Sole Proprietor
Yes

Practice Information

Address
979 EAST AVE
UNIT A
OAKLAND, RI, 02858
Browse RI providers · Browse ZIP 02858
Phone
4013712890
Fax
4013712892
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in OAKLAND, RI

Name Credential NPI
MRS. MELISSA L. ESCOBAR M.S. P.T. 1760523864
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.