Provider Demographics
NPI:1306810536
Name:OAKLAWN PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:OAKLAWN PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCLAMA
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSPT
Authorized Official - Phone:401-946-4477
Mailing Address - Street 1:800 OAKLAWN AVE
Mailing Address - Street 2:SUITE C-203
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-2822
Mailing Address - Country:US
Mailing Address - Phone:401-946-4477
Mailing Address - Fax:401-946-4475
Practice Address - Street 1:800 OAKLAWN AVE
Practice Address - Street 2:SUITE C-203
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2822
Practice Address - Country:US
Practice Address - Phone:401-946-4477
Practice Address - Fax:401-946-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty