Provider Demographics
NPI:1215296066
Name:GROWING INDEPENDENCE, LTD
Entity type:Organization
Organization Name:GROWING INDEPENDENCE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:DAUPHINAIS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:401-212-6771
Mailing Address - Street 1:129 QUANNACUT RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-4043
Mailing Address - Country:US
Mailing Address - Phone:401-212-6771
Mailing Address - Fax:
Practice Address - Street 1:129 QUANNACUT RD
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-4043
Practice Address - Country:US
Practice Address - Phone:401-212-6771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT01400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty