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Individual

AMANDA MARIE LANCTOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905
(401) 270-8246
Mailing address
157 CAMPEAU ST., WOONSOCKET, RI 02895
(401) 765-4792

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00509
RI

Other

Enumeration date
03/28/2012
Last updated
03/28/2012
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