Individual
MS. LISA ERIN COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
565 NEWPORT AVE, PAWTUCKET, RI 02861-3239
(401) 475-4238
Mailing address
565 NEWPORT AVE, PAWTUCKET, RI 02861-3239
(401) 475-4238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3237
MA
224Z00000X
Occupational Therapy Assistant
Primary
OTA00468
RI
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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