Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | ||
Y | 225X00000X | Occupational Therapist | OT01786 | RI |
NPI | 1114252897 |
---|---|
Provider Name | Sarah Mcneill |
First Address | Portsmouth, RI 02871-2244 |
Second Address | Middletown, RI 02842-6405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2009 |
Last Update Date | 08/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84-5079460 | MCNEILL CHILDREN INSTITUTE (01) | RI |