Individual
MRS. CARRIE LOUISE TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-6451
(401) 751-5421
Mailing address
50 MAUDE ST, PROVIDENCE, RI 02908-4325
(401) 456-6451
(401) 751-5421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00441
RI
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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