Individual
ALYSSA BOARDWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
Mailing address
374 LLOYD AVE APT 10, PROVIDENCE, RI 02906-4261
(413) 313-6170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01732
RI
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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