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Individual
SAMUEL MCKAY-CORKUM
Active
Individual
SAMUEL MCKAY-CORKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT01752
RI
225X00000X
Occupational Therapist
Primary
OT23318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NEIGHBORHOOD HEALTH OF RHODE ISLAND
RI
05
—
ES01788
—
RI
01
—
SB870
BLUE CROSS
RI
Enumeration date
06/22/2020
Last updated
02/10/2023
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