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1245449651
WALTER R. VANDYCK
PROVIDENCE, RI
NPI
1245449651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI 80)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- WALTER R. VANDYCK OTR
SPRINGFIELD MIDDLE SCHOOL, PROVIDENE SCHOOL DEPARTMENT 152 SPRINGFIELD ST
PROVIDENCE, RI 02909
Phone number: 401-278-0557
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Mailing Address
-- WALTER R. VANDYCK OTR
10 CANONCHET ST
PROVIDENCE, RI 02908-3802
Phone number: 401-751-0109
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