Individual
MRS. NICOLE DEE PASSARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MAHAR HWY, BRAINTREE, MA 02184
(781) 843-2733
Mailing address
950 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4900
(401) 523-7513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00182
RI
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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