Wild Physical Therapy And Wellness Llc

LBN: Wild Physical Therapy And Wellness Llc
Wild Physical Therapy And Wellness Llc is an health care organization with primary practice located at 545 Pawtucket Ave # Ll04A , Pawtucket RI 02860-6046. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Wild Physical Therapy And Wellness Llc can be contacted via phone (812) 662-5033, or through Leas-Medrek, Mollye via phone (812) 662-5033.

Contact Information

Primary practice address
545 Pawtucket Ave # Ll04A Pawtucket RI 02860-6046
Phone: (812) 662-5033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leas-Medrek, Mollye DPT
Phone: (812) 662-5033

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1174360176
LBN Legal business name Wild Physical Therapy And Wellness Llc
DBA Doing business as
Authorized official Leas-Medrek, Mollye DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2024
Last updated Jul 9th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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