Individual
GRACE SENRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 GREEN END AVE, MIDDLETOWN, RI 02842-5620
(401) 849-7100
Mailing address
240 NARRAGANSETT AVE, RIVERSIDE, RI 02915-3537
(401) 699-4174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02085
RI
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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