Individual
MARK DUFRESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8661
Mailing address
28 CLARK ST, NEW BEDFORD, MA 02740-7101
(508) 984-4872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
028
RI
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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