Individual
MARC VIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 GEM ST, NORTH PROVIDENCE, RI 02904-4805
(401) 258-1237
Mailing address
PO BOX 40822, PROVIDENCE, RI 02940-0838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3006
MA
224Z00000X
Occupational Therapy Assistant
Primary
OTA00373
RI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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