Individual
MS. REBECCA ELISABETH KODIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11 PLEASANT ST, BRISTOL, VT 05443-1030
(802) 379-1874
Mailing address
11 PLEASANT ST, BRISTOL, VT 05443-1030
(802) 379-1874
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0720000174
VT
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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