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Individual

MRS. MELISSA ANN ALBA WILBUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
25 CORONADO ROAD, WARWICK, RI 02886
(401) 739-1223
(401) 739-2002
Mailing address
25 CORONADO ROAD, WARWICK, RI 02886
(401) 739-1223
(401) 739-2002

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1497
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
295310
BC
RI
01
405502
BLUE CHIP
RI
Enumeration date
01/12/2007
Last updated
05/21/2015
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