KIRT CARL VAN

EAST PROVIDENCE, RI
NPI1245441930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: RI  ota00055)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- KIRT CARL VAN cota
1 EVERGREEN DR
EAST PROVIDENCE, RI 02914-1503
Phone number: 401-438-3250
Mailing Address
-- KIRT CARL VAN cota
140 RAPHAEL AVE
PROVIDENCE, RI 02904-1309
Phone number: 508-269-5971
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