Individual
LAUREN GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 WATERFRONT DR, EAST PROVIDENCE, RI 02914-5048
(401) 272-5280
Mailing address
92 OAK AVE, RIVERSIDE, RI 02915-4442
(401) 345-2319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00660
RI
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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