JONATHAN PACKER

CENTRAL FALLS, RI
NPI1902218761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: RI  OTA00656)
Enumeration Date2014-05-28
Last Update Date2014-05-28
Business Address
-- JONATHAN PACKER COTA/L
621 DEXTER ST
CENTRAL FALLS, RI 02863-2742
Phone number: 401-721-9294
Mailing Address
-- JONATHAN PACKER COTA/L
153 SUMMER ST
PROVIDENCE, RI 02903-4011
Phone number: 401-276-4347
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