Individual
ROBERT A PEZZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
161 W SHORE RD APT A9, WARWICK, RI 02889-1152
(401) 732-6768
Mailing address
161 W SHORE RD APT A9, WARWICK, RI 02889-1152
(401) 732-6768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001008
CT
224Z00000X
Occupational Therapy Assistant
03018
MA
224Z00000X
Occupational Therapy Assistant
Primary
OTA00383
RI
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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