NPI | 1386879971 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA S. BOVE Owner 802-247-5998 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072-0000020) |
Enumeration Date | 2009-05-26 |
Last Update Date | 2009-05-26 |