Individual
JESSICA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 WAMPUM RD, NARRAGANSETT, RI 02882-1621
(401) 207-3021
Mailing address
97 WAMPUM RD, NARRAGANSETT, RI 02882-1621
(401) 207-3021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
49.001366
CT
224Z00000X
Occupational Therapy Assistant
OTA-00229
RI
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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