Individual
KATHERINE J ALLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L MHS
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905
(401) 432-6800
(401) 432-6832
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905
(401) 432-6800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00081
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
SS NHPRC
RI
01
—
413443
SS BCHIP
RI
01
—
6400144
SS UHP
RI
05
—
9009994
—
RI
01
—
99947
SS BCROSS
RI
Enumeration date
07/19/2006
Last updated
07/09/2007
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