Individual
NICHOLAS GEORGE AURORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
309 SPRING ST, NEWPORT, RI 02840-6858
(401) 849-3204
Mailing address
309 SPRING ST, NEWPORT, RI 02840-6858
(401) 849-3204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01513
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT01513
OTR
RI
Enumeration date
01/23/2020
Last updated
01/23/2020
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