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Organization

WILD PHYSICAL THERAPY AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLYE LEAS-MEDREK DPT (OWNER)
(812) 662-5033
Entity
Organization

Contact information

Practice address
545 PAWTUCKET AVE # LL04A, PAWTUCKET, RI 02860-6046
(812) 662-5033
Mailing address
555 N MAIN ST # 1439, PROVIDENCE, RI 02904-5722

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
07/09/2024
Last updated
07/09/2024
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