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-- JONATHAN PACKER -- COTA/L

Individual Provider (NPI-1) Active

Occupational Therapy Assistant

Provider Information

NPI Number
1902218761
Provider Type
Individual Provider (NPI-1)
Credentials
COTA/L
Status
Active

Contact & Location

Address
621 DEXTER ST, CENTRAL FALLS, RI, 028632742
Phone
(401) 721-9294

Specialties & Taxonomies

Occupational Therapy Assistant Primary License: RI #OTA00656

All Addresses

MAILING

153 SUMMER ST

PROVIDENCE, RI, 029034011

(401) 276-4347

LOCATION

621 DEXTER ST

CENTRAL FALLS, RI, 028632742

(401) 721-9294