Individual
CHRISTINE MARIE JANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
75 EAGLE ST, PROVIDENCE, RI 02909-1081
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000780
RI
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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