Individual
BRIAN ROBERT DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
Mailing address
57 DELWAY RD, CRANSTON, RI 02910-5206
(401) 578-9616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01125
RI
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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