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Individual

SUMMER DAY VENAGRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1275 S BROADWAY, EAST PROVIDENCE, RI 02914-4932
(401) 438-7210
Mailing address
9 HOPE RD, CRANSTON, RI 02921-2739
(401) 935-3688

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01019
RI

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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