Individual
JENNIFER A MORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01482
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007057123
MEDICARE PTAN
RI
01
—
406540
BLUECHIP RI IND. ID #
RI
Enumeration date
05/16/2006
Last updated
06/07/2013
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