Individual
EMILY B LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00186
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
SS NHRRC
RI
01
—
405883
RI BLUE CHIP
RI
01
—
6400144
PT/OT UHP
RI
01
—
99947
SS BLUE CROSS
RI
Enumeration date
07/05/2006
Last updated
07/08/2007
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