Individual
JENNA DARKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 737-7000
Mailing address
76 SOUTH AVE, TIVERTON, RI 02878-4515
(401) 835-2343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11103
MA
225X00000X
Occupational Therapist
Primary
OT01428
RI
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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