Individual
KERRI L CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR L
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00983
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
SS NHPRC
RI
01
—
6400144
SS UHP
RI
05
—
9009994
—
RI
01
—
99947
SS BLUE CROSS
RI
Enumeration date
08/09/2006
Last updated
07/09/2007
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