Individual
ANGELINA HERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
151 BLAIR PARK RD, WILLISTON, VT 05495-7435
(802) 879-0909
Mailing address
5 HAWK RIDGE, UNDERHILL, VT 05489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000530
VT
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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