Individual
MS. JENNA LINDSAY MCWILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
Mailing address
46 NICHOLS ST, RUTLAND, VT 05701-3275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0077691
VT
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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