Organization
MID VERMONT HAND THERAPY AND ERGONOMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA MCCULLOUGH OTR, CHT (OWNER)
(802) 747-0540
Entity
Organization
Contact information
Practice address
135 N MAIN ST, RUTLAND, VT 05701-3238
(802) 747-0540
Mailing address
135 N MAIN ST, RUTLAND, VT 05701-3238
(802) 747-0540
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4608590001
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008974
—
VT
01
—
VN2947
MEDICARE
VT
Enumeration date
01/24/2008
Last updated
01/24/2008
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