Provider Demographics
NPI:1114094653
Name:LAREAU, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LAREAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TALL OAKS CT
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1921
Mailing Address - Country:US
Mailing Address - Phone:401-658-4046
Mailing Address - Fax:
Practice Address - Street 1:1 TALL OAKS CT
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1921
Practice Address - Country:US
Practice Address - Phone:401-658-4046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant