NPI 1245441930

Kirt Carl van, COTA

Practitioner Occupational Therapy Assistant East Providence, RI

Practice location

Address: 1 Evergreen Dr, East Providence, RI 02914-1503
Phone: (401) 438-3250
Fax: (401) 438-4813
Mailing address: 140 Raphael Ave, Providence, RI 02904-1309

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA00055 (RI)

Other Occupational Therapy Assistant providers in Rhode Island →

Registry record

NPI: 1245441930
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.