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Individual

KIM MARIE DOS REIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
80 BURNSIDE AVE, RIVERSIDE, RI 02915-3223
(401) 433-6248
Mailing address
4 DAVIS ST, TAUNTON, MA 02780-2115
(508) 824-2810

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1261
MA
225X00000X
Occupational Therapist
Primary
OT01280
RI

Other

Enumeration date
03/31/2011
Last updated
03/31/2011
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