Individual
NATALIE LELAND WIATROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
SOMERSET RIDGE CENTER, 455 BRAYTON AVE, SOMERSET, MA 02626
(508) 679-2240
Mailing address
18 BOURNE AVE, TIVERTON, RI 02878
(401) 624-1978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003402
VA
225X00000X
Occupational Therapist
Primary
7833
MA
225X00000X
Occupational Therapist
OT00776
RI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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