Individual
MARTHA CELESTE MAHILUM MCNEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PTA
Contact information
Practice address
10 PARK ROW W APT 514, PROVIDENCE, RI 02903-1176
(917) 734-6855
Mailing address
10 PARK ROW W APT 514, PROVIDENCE, RI 02903-1176
(917) 734-6855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01385
RI
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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