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Carla Blackwell Silva, PT

Physical Therapist in Pawtucket, RI. Individual provider (NPI-1).

NPI number1144345323
StatusActive
Last updated in NPPESApr 30, 2008

Details

NPI
1144345323
Entity type
Individual (NPI-1)
Name
Carla Blackwell Silva
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 20, 2007
Last updated
Apr 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT01596RIYes

Practice location

545 Pawtucket Ave
Foundation Performance, Mailbox 402
Pawtucket, RI 02860-6046

Phone 401-475-5775

Mailing address

545 Pawtucket Ave
Foundation Performance, Mailbox 402
Pawtucket, RI 02860-6046

Phone 401-475-5775

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