Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OTO2017 | RI |
NPI | 1063189587 |
---|---|
Provider Name | Ella J Coker |
First Address | Warwick, RI 02886-2873 |
Second Address | Warwick, RI 02886-2873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2021 |
Last Update Date | 23/08/2021 |