Individual
AMY MARCILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 AIRPORT RD, SUITE 102, WESTERLY, RI 02891-3434
(401) 741-5902
Mailing address
10 RIVER MEADOW DR, HOPE VALLEY, RI 02832-1408
(401) 741-5902
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00616
RI
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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