Provider Demographics
NPI:1366249526
Name:TATRO, PATRICIA ANN (COTA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:TATRO
Suffix:
Gender:
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RHODES AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-6987
Mailing Address - Country:US
Mailing Address - Phone:401-767-3500
Mailing Address - Fax:
Practice Address - Street 1:31 GROVE ST APT 1
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-3264
Practice Address - Country:US
Practice Address - Phone:140-148-6250
Practice Address - Fax:140-148-6250
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOTA00572224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant