Kristine M Ayers, COTA

Individual provider Active NPI Occupational Therapy Assistant · Pawtucket, RI

NPI 1962612929 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962612929
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA00010 (RI)
Practice address
70 Gill Ave
Pawtucket, RI 02861-4315
Phone
(401) 722-1900
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA00010RIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA00010 RI Yes

Addresses

Primary practice location

70 Gill Ave
Pawtucket, RI 02861-4315

Mailing address

27 Wasaga Rd
Pawtucket, RI 02861-2520
Phone (401) 724-9540

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Occupational Therapy Assistant in Rhode Island

Sources for this page

Verify at the official NPI Registry.