IndividualActive
Jonathan Packer, COTA/L
NPI 1902218761 · Occupational Therapy Assistant · Central Falls, RI
Provider details
- NPI number
- 1902218761
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- OTA00656 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
621 Dexter St
Central Falls, RI 02863-2742
Phone: (401) 721-9294
Approximate (ZIP-level) locationGet directions
Mailing address
153 Summer St
Providence, RI 02903-4011
Registry dates
- Enumerated
- 2014-05-28
- Last updated
- 2014-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.