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NPI Code Detail

MEDICARE: MRS. GINA LYNN ALSTON OTR L

MEDICARE: MRS. GINA LYNN ALSTON OTR L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist818RI

General Provider Information

NPI Number : 1306871744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA LYNN ALSTON OTR L
Provider Business Mailing Address
First Line : 7 WATSON DR
Second Line :
City : RICHMOND
State : RI
Zip : 02832-2818
Country : US
Telephone Number : 401-952-2082
Fax Number :
Provider Business Practice Location Address
First Line : 3445 POST RD
Second Line :
City : WARWICK
State : RI
Zip : 02886-7147
Country : US
Telephone Number : 401-739-2700
Fax Number : 401-737-8907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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