Individual
JANE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1272 W MAIN RD, MIDDLETOWN, RI 02842-6405
(401) 683-8063
Mailing address
11 HARBOR VILLAGE DR APT 2, MIDDLETOWN, RI 02842-7810
(954) 461-5886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01207
RI
Other
Enumeration date
03/29/2019
Last updated
04/04/2021
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