# OT LACTIVIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518716109
- **Authorized official:** JACAYIA JANAI AUSTIN CUARTAS OTD, OTR/L, IBCLC (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (352) 454-8337

## Contact information

- **Practice address:** 308 SMITH ST, CRANSTON, RI 02905-4129
- **Practice address phone:** (352) 454-8337
- **Mailing address:** 47 WOOD AVE, BARRINGTON, RI 02806-3503
- **Mailing address phone:** (352) 454-8337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174N00000X | Lactation Consultant (Non-RN) | — | NULL | — |
| 174N00000X | Lactation Consultant (Non-RN) | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 07/09/2026