Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 57 Us Rt 4, Hartland, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902097801 | NPI | - | NPPES |
OTSE00019121 | Other | VT | VT BLUECROSSBLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 0720000071 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 36, Taftsville, VT 05073-0036 Ph: (802) 457-4487 | 57 Us Rt 4, Hartland, VT 05048 Ph: (802) 457-4487 |
Ms. Christine Ruth Knippenberg, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 145 Route 12, Hartland, VT 05048 Phone: 802-436-1711 |