Active NPIIndividual provider

Mr. Dino B Iacobo, OTRL

Occupational Therapist in East Providence, Rhode Island

NPI Number1053444109
Practice location
1 Evergreen Dr, East Providence, RI 02914-1503
Fax
401-438-4813
Last updated
July 8, 2007

Dino B Iacobo is an Occupational Therapist based in East Providence, RI. Dino B Iacobo practices in East Providence, RI and has the professional credentials of OTRL. The NPI Number for Dino B Iacobo is 1053444109 and holds a License No. OT 00856 (RI). The current practice location address for Dino B Iacobo is 1 Evergreen Dr, East Providence, RI 02914-1503 and can be reached out via phone at 401-438-3250 and via fax at 401-438-4813.

Provider Profile Details

NPI Number
1053444109
Provider Name
Dino B Iacobo
Credential
OTRL
Provider Entity Type
Individual
Gender
Male
Address
1 Evergreen Dr, East Providence, RI 02914-1503
Phone Number
401-438-3250
Fax Number
401-438-4813
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Evergreen Dr
East Providence, RI 02914-1503
Zip
02914-1503
Phone Number
401-438-3250
Fax Number
401-438-4813
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
115 Waveland Ave
Johnston, RI 02919-3642
City
Johnston
State
RI
Zip
02919-3642
Phone Number
401-438-3250
Fax Number
401-438-4813

License Information

License Number
OT 00856
License State
RI
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Dino B Iacobo, OTRL?

The NPI number of Mr. Dino B Iacobo, OTRL is 1053444109. It was assigned on March 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Dino B Iacobo, OTRL?

Mr. Dino B Iacobo, OTRL is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in RI under license number OT 00856.

Where does Mr. Dino B Iacobo, OTRL practice?

The practice location is 1 Evergreen Dr, East Providence, RI 02914-1503. The office can be reached at 401-438-3250 (phone) or 401-438-4813 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053444109 directly on the NPPES registry website.

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