NPI | 1255502241 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY MARIE SMYTH Occupational Therapist; Owner 802-279-2091 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: VT 0720000083) |
Enumeration Date | 2008-03-18 |
Last Update Date | 2015-09-23 |