Doctor Name: | MS. TRACIE DELSESTO |
NPI Number: | 1881983138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MBA |
License Number: | PT00883 |
Business Practice Address: | 940 Reservoir Ave Suite A Cranston, RI - 029104418 |
Business Phone Number: | 4012283939 |
Business Fax Number: | 4013833043 |
Mailing Address: | 940 Reservoir Ave, Suite A CRANSTON |
State: | RI |
Postal Code: | 029104418 |
Phone Number: | 4012283939 |
Fax Number: | 4013833043 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |