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Nicole Elizabeth Constantino, OTR L

Occupational Therapist in Providence, RI. Individual provider (NPI-1).

NPI number1649335209
StatusActive
Last updated in NPPESApr 18, 2012

Details

NPI
1649335209
Entity type
Individual (NPI-1)
Name
Mrs. Nicole Elizabeth Constantino
Credential
OTR L
Sex
Female
Sole proprietor
No
Enumeration date
Dec 26, 2006
Last updated
Apr 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist8953MAYes

Practice location

1000 Eddy St
Providence, RI 02905-4739

Phone 401-345-6461

Mailing address

1095 Glebe Street
Taunton, MA 02780

Phone 774-644-4492

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