Individual
MEGAN N MARCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5750 POST RD STE 1A, EAST GREENWICH, RI 02818-2139
(401) 885-2821
(401) 884-5428
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02047
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11825236
CAQH
RI
01
—
1518921816
BUSINESS NPI
RI
Enumeration date
01/26/2007
Last updated
12/08/2017
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