Individual
MELISSA MARIE DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1193 RESERVOIR AVE, CRANSTON, RI 02920-6008
(401) 228-3939
Mailing address
6 LAKECREST CIR, WARWICK, RI 02889-2200
(401) 248-1973
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01146
RI
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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