Individual
KEVIN CHARBONNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 BELLEVUE AVE, SUITE #5, NEWPORT, RI 02840-3259
(401) 849-7100
Mailing address
38 BELLEVUE AVE, APARTMENT #5, NEWPORT, RI 02840-3259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01054
RI
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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