Individual
HALEY MELINA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 721-9200
Mailing address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 556-3563
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01354
RI
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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