Individual
MRS. MARY FATIMA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
75 EAST ST, PROVIDENCE, RI 02903-4472
(401) 272-5280
(505) 468-3550
Mailing address
75 EAST ST, PROVIDENCE, RI 02903-4472
(401) 272-5280
(505) 468-3550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00236
RI
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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