Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 139 | RI |
NPI | 1003174277 |
---|---|
Provider Name | Mrs. Deborah E Draper |
First Address | Cumberland, RI 02864-2215 |
Second Address | Lincoln, RI 02865-1161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 25/04/2012 |