Individual
JACALYN M. PAPPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1539 ATWOOD AVE, SUITE 202, JOHNSTON, RI 02919-3262
(401) 351-0515
(401) 351-0516
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
OT00681
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00681
STATE LICENSE NUMBER
RI
Enumeration date
06/26/2007
Last updated
07/08/2007
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