Individual
WENDY IDEA AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
114 EAST AVE, WESTERLY, RI 02891-3012
(401) 259-2602
Mailing address
8 SNOW RD, WINCHESTER, NH 03470-2806
(603) 239-6355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0613
NH
Other
Enumeration date
11/21/2012
Last updated
12/02/2022
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