Individual
MRS. JULIE EMILY SOARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
610 SMITHFIELD RD, NORTH PROVIDENCE, RI 02904-3820
(401) 353-6300
Mailing address
48 DUDLEY OXFORD RD, DUDLEY, MA 01571-6115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00291
RI
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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