Individual
KAITLYN MARY LARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 COMMONWEALTH AVE, WARWICK, RI 02886-2707
(401) 739-4241
Mailing address
99 DOUGLAS PIKE, NORTH SMITHFIELD, RI 02896-9517
(401) 919-8600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00664
RI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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