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Individual

CARLA BLACKWELL SILVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
545 PAWTUCKET AVE, FOUNDATION PERFORMANCE, MAILBOX 402, PAWTUCKET, RI 02860-6046
(401) 475-5775
Mailing address
545 PAWTUCKET AVE, FOUNDATION PERFORMANCE, MAILBOX 402, PAWTUCKET, RI 02860-6046
(401) 475-5775

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01596
RI

Other

Enumeration date
03/20/2007
Last updated
04/30/2008
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