Individual
TASIA CARLYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
596 SHELDON RD, SAINT ALBANS, VT 05478-8011
(802) 524-6534
Mailing address
56 WESTWOOD PKWY, BARRE, VT 05641-5219
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
072.0075464
VT
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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