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1205990199
LANI HENNESSEY
PROVIDENCE, RI
NPI
1205990199
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Former Name
LANI TAKETA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI 214)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
LANI HENNESSEY OTR
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8661
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Mailing Address
LANI HENNESSEY OTR
8 SWIFT ST
CRANSTON, RI 02905-5124
Phone number: 401-467-8657
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