Individual
TRACY DORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 728-6500
(401) 728-6509
Mailing address
8 PINE HILL RD, JOHNSTON, RI 02919-2890
(401) 728-6500
(401) 728-6509
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00411
RI
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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