Individual
CAROL SANDOVAL-PEZZULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Mailing address
112 CLARKS FALLS RD, ASHAWAY, RI 02804-1207
(860) 908-9446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00728
RI
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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