Provider Demographics
NPI:1407605843
Name:RHODE ISLAND PELVIC WELLNESS
Entity type:Organization
Organization Name:RHODE ISLAND PELVIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:401-523-0375
Mailing Address - Street 1:12 IRONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1821
Mailing Address - Country:US
Mailing Address - Phone:401-523-0375
Mailing Address - Fax:
Practice Address - Street 1:267 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3750
Practice Address - Country:US
Practice Address - Phone:401-200-4373
Practice Address - Fax:401-594-0368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy