NPI 1174360176

Wild Physical Therapy and Wellness LLC

Organisation Physical Therapist Pawtucket, RI

Practice location

Address: 545 Pawtucket Ave # Ll04a, Pawtucket, RI 02860-6046
Phone: (812) 662-5033
Mailing address: 555 N Main St # 1439, Providence, RI 02904-5722

Authorised official

Name: Mollye Leas-Medrek
Title: Owner
Phone: (812) 662-5033

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Rhode Island →

Registry record

NPI: 1174360176
Entity type: Organization
NPI issued: 9 Jul 2024
Record last updated: 9 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.