Individual
MELISSA JEAN PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 432-6809
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 432-6809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17504
MA
225100000X
Physical Therapist
Primary
PT02283
RI
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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