Individual
ADDIE IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
617 COMSTOCK RD, BERLIN, VT 05602-8294
(205) 790-4847
Mailing address
617 COMSTOCK RD, BERLIN, VT 05602-8294
(205) 790-4847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0134592TEMP
VT
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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