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Individual

ANDREA TAMMARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L CHT

Contact information

Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1580
(401) 831-0500
Mailing address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 457-1580
(401) 831-0500

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT00747
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26728
BLUE CROSS BLUE SHIELD
RI
Enumeration date
06/21/2006
Last updated
10/04/2011
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