Individual
MR. ERICK AUGUSTUS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 S BROADWAY, EAST PROVIDENCE, RI 02914-4932
(401) 438-7020
Mailing address
215 JAMES TRL, WEST KINGSTON, RI 02892-1752
(401) 864-7179
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00538
RI
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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