Individual
LISA VAUDRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1139 MAIN AVE, WARWICK, RI 02886-1940
(401) 739-6600
Mailing address
740 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4226
(401) 480-6304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00527
RI
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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