Provider Demographics
NPI:1851509079
Name:DEMELLO, FRANCES PATRICIA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:PATRICIA
Last Name:DEMELLO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 FLAT RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CPU SUMMIT GENERAL STORE
Mailing Address - State:RI
Mailing Address - Zip Code:02827-1516
Mailing Address - Country:US
Mailing Address - Phone:401-397-5550
Mailing Address - Fax:
Practice Address - Street 1:2191 POST RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1532
Practice Address - Country:US
Practice Address - Phone:401-738-8100
Practice Address - Fax:401-738-8274
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPTA00600225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant