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Contact Information

JOHNATHAN M ANDERSON I
2220 S COUNTY TRL
EAST GREENWICH, RI02818-1536
 Phone: 401-295-2955
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JOHNATHAN M ANDERSON I · (Male)

NPI Number 1740030337
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2024
Last updated 03/25/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # OTA01335
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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