Individual
BRANDON MICHAEL BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
334 WINTER ST, WOONSOCKET, RI 02895-1047
(774) 287-3313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01756
RI
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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