Individual
JUSTIN RICHARD ERBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 732-4241
Mailing address
115 BROOKWOOD RD, WARWICK, RI 02889-3218
(401) 921-3532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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