Individual
LISA RAE DIIORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13 ALFRED DR, NORTH PROVIDENCE, RI 02911-2444
(401) 529-8346
Mailing address
13 ALFRED DR, NORTH PROVIDENCE, RI 02911-2444
(401) 529-8346
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
3057
MA
172V00000X
Community Health Worker
Primary
OTA00300
RI
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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