Individual
MICHELLE MINGRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
151 BLAIR PARK RD, WILLISTON, VT 05495-7435
(802) 879-0909
Mailing address
151 BLAIR PARK RD, PO BOX 1064, WILLISTON, VT 05495-7435
(802) 879-0909
(802) 879-3095
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
072-0000499
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012554
—
VT
01
—
2729219
CIGNA
VT
01
—
388807
MVP
VT
01
—
69218
BCBS
VT
Enumeration date
11/03/2006
Last updated
11/14/2007
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