Individual
MR. DINO B IACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1 EVERGREEN DR, EAST PROVIDENCE, RI 02914-1503
(401) 438-3250
(401) 438-4813
Mailing address
115 WAVELAND AVE, JOHNSTON, RI 02919-3642
(401) 438-3250
(401) 438-4813
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00856
RI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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