| NPI | 1447596820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA S BOVE Manager 802-247-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 0720000020) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |