Individual
DAVID GILDERSLEEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 HAYWOOD AVE, RUTLAND, VT 05701-4832
(802) 747-6433
Mailing address
43 MORSE PL, RUTLAND, VT 05701-5007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0000107
VT
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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