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Individual

MRS. JULIE LYNN FORNUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
1160 POST RD, SUITE 8, WARWICK, RI 02888-3265
(401) 941-9111
Mailing address
7 S POND DR, COVENTRY, RI 02816-7970
(401) 651-4068

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
00391
RI

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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