Individual
HEIDI M EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
74 PINECREST DR, EXETER, RI 02822-3735
(401) 339-9677
Mailing address
74 PINECREST DR, EXETER, RI 02822-3735
(401) 339-9677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00665
RI
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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