Individual
TRACEY CASSARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
175 DOVER LN, CAROLINA, RI 02812-1073
(401) 524-7923
Mailing address
175 DOVER LN, CAROLINA, RI 02812-1073
(401) 524-7923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00997
RI
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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