Individual
WILFREDO OSCAR COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
845 N MAIN ST, PROVIDENCE, RI 02904-5700
(401) 270-1905
(401) 270-5658
Mailing address
845 N MAIN ST, PROVIDENCE, RI 02904-5700
(401) 270-1905
(401) 270-5658
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00817
RI
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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