Individual
MRS. ALICIA MARIE RIESTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
46 NICHOLS ST., RUTLAND HEALTHCARE AND REHABILITATION CENTER, RUTLAND, VT 05701
(802) 775-2941
Mailing address
679 CAMPBROOK RD, BETHEL, VT 05032-9069
(802) 234-5274
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0730000138
VT
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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