Provider Demographics
NPI:1023392073
Name:LIMA, THOMAS (COTA/L)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:LIMA
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 HOPKINS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:RI
Mailing Address - Zip Code:02827-2206
Mailing Address - Country:US
Mailing Address - Phone:401-397-3116
Mailing Address - Fax:
Practice Address - Street 1:186 HOPKINS HOLLOW RD
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:RI
Practice Address - Zip Code:02827-2206
Practice Address - Country:US
Practice Address - Phone:401-397-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOTA000224224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant