| NPI | 1104223478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY HIGGINBOTTOM Occupational Therapist 401-413-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MA 3394) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |