WILFREDO OSCAR COLON

PROVIDENCE, RI
NPI1962790691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA00817)
Enumeration Date2011-07-15
Last Update Date2011-07-15
Business Address
-- WILFREDO OSCAR COLON PTA
845 N MAIN ST
PROVIDENCE, RI 02904-5700
Phone number: 401-270-1905
Mailing Address
-- WILFREDO OSCAR COLON PTA
845 N MAIN ST
PROVIDENCE, RI 02904-5700
Phone number: 401-270-1905