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Individual

MRS. KARA A DUNIVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
11 KING CHARLES DR STE A2, PORTSMOUTH, RI 02871-1364
(401) 683-8063
Mailing address
3565 OAKLEAF CT, SPRING VALLEY, CA 91977-2841
(858) 243-7009

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
659
CA
224Z00000X
Occupational Therapy Assistant
Primary
OTA00077
RI

Other

Enumeration date
08/19/2020
Last updated
09/11/2020
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