Provider Demographics
NPI:1710185970
Name:LOMBARDO, MARIA CATHERINE (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CATHERINE
Last Name:LOMBARDO
Suffix:
Gender:F
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 1:20 KELLY ST
Mailing Address - Street 2:#3
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-2406
Mailing Address - Country:US
Mailing Address - Phone:401-439-6722
Mailing Address - Fax:
Practice Address - Street 1:31 PARADE ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02909-1720
Practice Address - Country:US
Practice Address - Phone:401-351-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOTA00368224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant