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1568707735
CHARLENE BETH BOTELHO
PROVIDENCE, RI
NPI
1568707735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI ota00480)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
-- CHARLENE BETH BOTELHO COTA/L
50 MAUDE ST
PROVIDENCE, RI 02908-4325
Phone number: 401-456-6451
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Mailing Address
-- CHARLENE BETH BOTELHO COTA/L
50 MAUDE ST
PROVIDENCE, RI 02908-4325
Phone number: 401-456-6451
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