MS. Lisa A Mellow, P.T.

NPI #1043269582 in Johnston, Rhode Island

Provider Information

NPI Number: 1043269582
Entity Type: Individual
Name: MS. Lisa A Mellow, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: May 10, 2006
Last Updated: Apr 8, 2009

Practice Location

Address: 1524 ATWOOD AVE
Address 2: DBA/ROBERT BUONANNO
City: Johnston
State: Rhode Island
ZIP Code: 02919-3228
Phone: (401) 351-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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