Penacho, Andrea E

Penacho, Andrea E is an individual health care provider with primary practice located at 721 Reservoir Ave , Cranston RI 02910-4430. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Penacho, Andrea E can be contacted via phone (401) 946-4250.

Contact Information

Primary practice address
721 Reservoir Ave Cranston RI 02910-4430
Phone: (401) 946-4250
Fax: (401) 275-5645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00513 Rhode Island

Profile Details

NPI number 1750331682
LBN Legal business name Penacho, Andrea E
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750331682 NPPES
Rhode Island Other 408949 BLUECHIP RI IND. ID#

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