Organization
EXTRAORDINARY KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HOGAN OTR/L (OWNER)
(401) 954-6040
Entity
Organization
Contact information
Practice address
7 SMITH AVE, GREENVILLE, RI 02828-1763
(401) 954-6040
Mailing address
7 SMITH AVE, GREENVILLE, RI 02828-1763
(401) 954-6040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
04/26/2023
Update your record
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