Most Relevant Information
Provider Data
| NPI Number: | 1003598905 |
| Provider Name: | LILLIAN MERRILL GATES OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT02185 |
Most Important Dates
| Enumeration Date: | 08/01/2023 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
2000 MINISTERIAL RD
WAKEFIELD
RI
028791318
Practice Location Phone/Fax
| Phone: | 4017418056 |
| Fax: |
Provider Mailing Location
2000 MINISTERIAL RD
WAKEFIELD
RI
028791318
Provider Mailing Phone/Fax
| Phone: | 4017418056 |
| Fax: |