Provider Demographics
NPI:1992812846
Name:SILVA, PAULA VALENTE (MSPT)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:VALENTE
Last Name:SILVA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:V
Other - Last Name:LEITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1011 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:E PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1314
Mailing Address - Country:US
Mailing Address - Phone:401-270-7711
Mailing Address - Fax:
Practice Address - Street 1:1011 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:E PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1314
Practice Address - Country:US
Practice Address - Phone:401-270-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI408355OtherBLUE CHIP
RI293512OtherBLUE CROSS