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Individual

NICOLE M PROULX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
415 CHERRY FARM RD, HARRISVILLE, RI 02830-1251
(401) 473-9841
Mailing address
415 CHERRY FARM RD, HARRISVILLE, RI 02830-1251
(401) 473-9841

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3520
MA

Other

Enumeration date
02/22/2017
Last updated
02/22/2017
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