Individual
MRS. MELISSA ANN ALBA WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
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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