Individual
JACAYIA JANAI AUSTIN CUARTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 533-9100
(401) 533-9101
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-317227
—
225XP0200X
Pediatric Occupational Therapist
Primary
OT02178
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0614
NHPRI
RI
05
—
ES01788
—
RI
01
—
SB870
BCRI
RI
Enumeration date
12/19/2022
Last updated
12/18/2024
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