Organization
OPTIMAL THERAPY & CUSTOM CELEBRATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCILLA F NOVA OT/L (OWNER)
(401) 301-1014
Entity
Organization
Contact information
Practice address
1240 PAWTUCKET AVE, RUMFORD, RI 02916-1427
(401) 301-1014
Mailing address
63 BELFIELD DR, JOHNSTON, RI 02919-1801
(401) 301-1014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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