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Individual

REBECCA MARIE SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
225 CHAPMAN ST, PROVIDENCE, RI 02905-4533
(401) 490-7610
Mailing address
225 CHAPMAN ST, PROVIDENCE, RI 02905-4533
(401) 490-7610

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00075
RI

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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