Individual
LANI HENNESSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8661
Mailing address
8 SWIFT ST, CRANSTON, RI 02905-5124
(401) 467-8657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
214
RI
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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