Individual
RUBEN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
727 EAST AVE, PAWTUCKET, RI 02860-6185
(401) 495-7885
(401) 228-0805
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(401) 495-7885
(401) 228-0805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02403
RI
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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