Organization
NANCY MARIE SMYTH.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MARIE SMYTH O.T.R., M.O.T. (OCCUPATIONAL THERAPIST; OWNER)
(802) 279-2091
Entity
Organization
Contact information
Practice address
105-4 MAD RIVER GREEN, WAITSFIELD, VT 05673
(802) 279-2091
(802) 496-6606
Mailing address
PO BOX 760, WAITSFIELD, VT 05673-0760
(802) 279-2091
(802) 496-6606
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0720000083
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255502241
SELF
VT
Enumeration date
03/18/2008
Last updated
09/23/2015
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