| Doctor Name: | MR. MELISSA A. BRUNELLE |
| NPI Number: | 1962587931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | |
| Business Practice Address: | 1822 Mineral Spring Ave North Providence, RI - 029048938 |
| Business Phone Number: | 4013546700 |
| Business Fax Number: | 4013546702 |
| Mailing Address: | 872 Smithfield Ave, LINCOLN |
| State: | RI |
| Postal Code: | 028653500 |
| Phone Number: | 4017220012 |
| Fax Number: | 4017220056 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |