Individual
MRS. ELIZABETH MARIE REGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9 HICKS LN, PORTSMOUTH, RI 02871-1971
(401) 683-6054
Mailing address
9 HICKS LN, PORTSMOUTH, RI 02871-1971
(401) 683-6054
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00347
RI
Other
Enumeration date
08/26/2007
Last updated
08/26/2007
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