Individual
MRS. ADRIEN JEAN BLAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8632
Mailing address
43 VERA ST, WARWICK, RI 02886-5224
(401) 921-2557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0799
RI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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