Individual
NICOLE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PAYTON AVE, WARWICK, RI 02889-5223
(401) 301-0928
Mailing address
75 PAYTON AVE, WARWICK, RI 02889-5223
(401) 301-0928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3220
MA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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