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1679222335
BRIAN ROBERT DESIMONE
MIDDLETOWN, RI
NPI
1679222335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI OTA01125)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
BRIAN ROBERT DESIMONE
333 GREEN END AVE
MIDDLETOWN, RI 02842-5620
Phone number: 401-849-7100
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Mailing Address
BRIAN ROBERT DESIMONE
57 DELWAY RD
CRANSTON, RI 02910-5206
Phone number: 401-578-9616
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