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1740030337
JOHNATHAN MATTHEW ANDERSON
EAST GREENWICH, RI
NPI
1740030337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: RI OTA01335)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
JOHNATHAN MATTHEW ANDERSON
2220 S COUNTY TRL
EAST GREENWICH, RI 02818-1536
Phone number: 401-295-2955
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Mailing Address
JOHNATHAN MATTHEW ANDERSON
3595 POST RD APT 23205
WARWICK, RI 02886-7030
Phone number:
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