Individual
MELISSA T KULPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1181 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5255
(401) 367-0190
(401) 619-3752
Mailing address
1181 AQUIDNECK AVE, MIDDLETOWN, RI 02842-5255
(401) 367-0190
(401) 619-3752
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00322
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00322
STATE LIC
RI
Enumeration date
09/04/2014
Last updated
09/04/2014
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