Individual
MISS JACQUELINE LEONA PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
135 DODGE ST, PROVIDENCE, RI 02907-2210
(401) 521-9600
(505) 468-8285
Mailing address
135 DODGE ST, PROVIDENCE, RI 02907-2210
(401) 521-9600
(505) 468-8285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01046
RI
Other
Enumeration date
11/18/2012
Last updated
11/18/2012
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