Individual
MR. SHAWN PATRICK BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
650 TEN ROD ROAD, NORTH KINGSTOWN, RI 02852
(401) 294-6230
Mailing address
650 TEN ROD ROAD, NORTH KINGSTOWN, RI 02852
(401) 294-6230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
160
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312244
BLUE CROSS
RI
01
—
413330
BLUE CHIP
RI
Enumeration date
03/20/2007
Last updated
07/08/2007
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