Most Relevant Information
Provider Data
| NPI Number: | 1003209156 |
| Provider Name: | JOCELYN PEARSON |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | PTA0822 |
Most Important Dates
| Enumeration Date: | 03/13/2015 |
| Last Updated: | 03/13/2015 |
Provider Practice Location
10 WOODLAND DR
COVENTRY
RI
028166716
Practice Location Phone/Fax
| Phone: | 4018262000 |
| Fax: |
Provider Mailing Location
31 OLD CARRIAGE RD APT 72
WEST WARWICK
RI
028932195
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |