NPI 1275725012
Marissa D Lopes, PTA
Practice location
- Address
- 830 Chalkstone Ave, Providence, RI 02908-4734
- Phone
- (401) 273-7100
- Fax
- (401) 525-2529
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1275725012
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Aug 2007
- Record last updated
- 15 Aug 2007
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.