Individual
DENA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1539 ATWOOD AVE STE 202, JOHNSTON, RI 02919-3262
(401) 351-0515
(401) 351-0530
Mailing address
PO BOX 20372, CRANSTON, RI 02920-0944
(401) 785-1016
(401) 785-1018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PT00589
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00589
STATE LICENSE NUMBER
RI
Enumeration date
03/19/2020
Last updated
03/19/2020
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