Individual
MELISSA PEDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
THE PROVIDENCE CENTER, 520 HOPE STREET, PROVIDENCE, RI 02906
(401) 276-4531
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OT00836
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
Enumeration date
03/28/2007
Last updated
03/31/2009
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