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Individual

MS. JILL KAUDERS LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5178
(401) 444-5089
Mailing address
17 PEREZ ST, ATTLEBORO, MA 02703-6380
(508) 226-1123

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2324
MA
225X00000X
Occupational Therapist
Primary
243
RI

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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