Provider Demographics
NPI:1033309141
Name:ALLAIRE, MELINDA MARY (PT)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:MARY
Last Name:ALLAIRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:MARY
Other - Last Name:BELIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2 RUTH AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:RI
Mailing Address - Zip Code:02809-4837
Mailing Address - Country:US
Mailing Address - Phone:401-575-6266
Mailing Address - Fax:401-200-8061
Practice Address - Street 1:2 RUTH AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809
Practice Address - Country:US
Practice Address - Phone:401-575-6266
Practice Address - Fax:401-200-8061
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02389225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist