Individual
ELIZABETH THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 RHODES AVE, NORTH SMITHFIELD, RI 02896-6987
(401) 767-3500
Mailing address
11 WALKER WAY, SCITUATE, RI 02857-1233
(401) 578-8206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01908
RI
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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