Individual
AMANDA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
(401) 368-4263
Mailing address
4 COVENTRY SHOPPERS PARK, COVENTRY, RI 02816-5702
(401) 828-1781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
OT01596
RI
172V00000X
Community Health Worker
OTA00602
RI
225X00000X
Occupational Therapist
Primary
OT01696
RI
Other
Enumeration date
08/02/2016
Last updated
10/20/2022
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