IndividualActive
Andrea Penacho, OTRL
NPI 1750331682 · Occupational Therapist · Cranston, RI
Provider details
- NPI number
- 1750331682
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- OT00513 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
721 Reservoir Ave
Cranston, RI 02910-4430
Phone: (401) 946-4250
Fax: (401) 275-5645
Approximate (ZIP-level) locationGet directions
Mailing address
227 Greenbrier Dr
Seekonk, MA 02771-5647
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2021-01-04
- Certified
- 2021-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.