Individual
CORA BARILONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 GARBROOKE DR, BENNINGTON, VT 05201-9815
(802) 442-0650
Mailing address
212 GARBROOKE DR, BENNINGTON, VT 05201-9815
(802) 442-0650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
730
MA
224Z00000X
Occupational Therapy Assistant
Primary
7300000003
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730
INDIVIDUAL
MA
01
—
7300000003
INDIVIDUAL
VT
Enumeration date
10/07/2015
Last updated
10/07/2015
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