Provider Demographics
NPI:1447304530
Name:WEBBER-GAFFNEY, ALISA ANN (DPT, MSPT, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ALISA
Middle Name:ANN
Last Name:WEBBER-GAFFNEY
Suffix:
Gender:
Credentials:DPT, MSPT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1193 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6008
Mailing Address - Country:US
Mailing Address - Phone:401-228-3939
Mailing Address - Fax:401-383-3043
Practice Address - Street 1:1193 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6008
Practice Address - Country:US
Practice Address - Phone:401-228-3939
Practice Address - Fax:401-383-3043
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI225X00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist