TARA A SLACK

PROVIDENCE, RI
NPI1831127844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: RI  OT00837)
Enumeration Date2006-06-29
Last Update Date2011-01-20
Business Address
Mrs. TARA A SLACK OTR L
1000 EDDY STREET
PROVIDENCE, RI 02905
Phone number: 401-533-9100
Mailing Address
Mrs. TARA A SLACK OTR L
1000 EDDY STREET
PROVIDENCE, RI 02905
Phone number: 401-533-9100
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