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1063570380
CHRISTA N FADDEN
PROVIDENCE, RI
NPI
1063570380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI 816)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
Miss CHRISTA N FADDEN OTR
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8661
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Mailing Address
Miss CHRISTA N FADDEN OTR
20 WOODBINE ST
WEST WARWICK, RI 02893-4237
Phone number: 401-615-9856
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