Individual
JACQUELINE A MALLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
134 THURBERS AVE., C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02905
(401) 331-1350
(401) 277-3366
Mailing address
25 LONGBOW DRIVE, WEST WARWICK, RI 02893
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00895
RI
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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