Individual
COREY MANUEL LOURENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
69 DRAPER AVE, WARWICK, RI 02889-5046
(401) 734-3000
Mailing address
69 DRAPER AVE, WARWICK, RI 02889-5046
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT02354
RI
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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