Individual
MS. AMANDA TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
671 CARRS TRL, GREENE, RI 02827-1826
(401) 465-3430
Mailing address
626 PARK AVE, CRANSTON, RI 02910-2154
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00771
RI
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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