Individual
KRISTEN BOTTACHIARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
642 METACOM AVE, WARREN, RI 02885-2350
(401) 245-2860
Mailing address
5 THAMES ST, BRISTOL, RI 02809-1814
(774) 291-9413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01204
RI
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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