Organization
LIFESPAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN MERCER (OTR/L)
(401) 432-6800
Entity
Organization
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 432-6800
Mailing address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
OT01595
RI
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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