Individual
LIA ROSE CUCINOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RANDALL SQ STE 302, PROVIDENCE, RI 02904-2773
(401) 443-5252
Mailing address
40 ESTHER DR, NORTH PROVIDENCE, RI 02911-1069
(401) 952-3105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02111
RI
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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