Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH TETELBAUM, PTA
Active Sole ProprietorOccupational Therapist · PROVIDENCE, RI
Registration Details
- NPI Number
- 1033286877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.394987732275 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PTA00356 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
593 EDDY STPROVIDENCE, RI, 029034923Browse RI providers · Browse ZIP 02903
- Phone
- 4014448661
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| THERESA M MARINO | PTA | 1730104274 |
| MR. FRED R JENSEN | PTA | 1548281884 |
| MONIKA KMIECIK | PTA | 1417028093 |
| MS. CAROLE MACHAMER | PTA | 1861563454 |
| MARJORIE BRENNAN | — | 1992877815 |
| MR. MARK LOUIS CHENOT | PTA | 1245391606 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.