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Individual

MISS MARY LYNN SCIARILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
18 WOODY HILL EXT, BRADFORD, RI 02808-1334
(401) 474-5227
Mailing address
18 WOODY HILL EXT, BRADFORD, RI 02808-1334
(401) 474-5227

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT01133
RI
225XG0600X
Gerontology Occupational Therapist
Primary
003747
CT

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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