Individual
ELISA MARIE VIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
129 SCHOOL STREET, PAWTUCKET, RI 02860-5305
(401) 726-7100
(401) 722-9386
Mailing address
1525 WAMPANOAG TRAIL, SUITE 205, EAST PROVIDENCE, RI 02915-1038
(401) 433-4049
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02750
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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