Wild Physical Therapy and Wellness LLC
NPI #1174360176 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1174360176
- Entity Type
- Organization
- Organization Name
- Wild Physical Therapy and Wellness LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 9, 2024
- Last Updated
- Jul 9, 2024
Practice Location
- Address
- 545 PAWTUCKET AVE # LL04A
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-6046
- Phone
- (812) 662-5033
Authorized Official
- Name
- MOLLYE LEAS-MEDREK, DPT
- Title
- OWNER
- Phone
- (812) 662-5033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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