Individual
LAURIE GUNTER MANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
299 NORWOOD AVE, CRANSTON, RI 02905-2711
(603) 264-1224
Mailing address
299 NORWOOD AVE, CRANSTON, RI 02905-2711
(603) 264-1224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01457
RI
225XG0600X
Gerontology Occupational Therapist
OT01457
RI
Other
Enumeration date
06/12/2015
Last updated
11/22/2019
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