Living Essence Physical Therapy - ...holistic physical therapy and nutrition
Contact Us

Phone    401-954-1807

Please fill out the form below to be added to our customer list.

If you would like to know yourhealth insurance benefitsfor physical therapy, please include the following information in the comment section of this form.  You may also include any questions or concerns that you may have regarding a treatment or appointment.

  1. Legal Name, as it appears on your card
  2. Date of birth
  3. Health Insurance Carrier's Company Name
  4. (ie. Healthmate Coast to Coast)
  5. Health insurance ID Number with letter prefixes (if present)
  6. Policy Holder's name
  7. Relationship to policy holder (self/ spouse/ parent)
  8. Policy holders date of birth
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