Individual
JESSICA HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 481-0823
Mailing address
121 MEADOWLARK DR, SEEKONK, MA 02771-2713
(508) 272-4980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00168-G
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
EI UNITED
RI
05
—
ES01788
—
RI
Enumeration date
07/19/2011
Last updated
05/30/2014
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