Individual
SHARON JENDRAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
1110 PRIM RD, COLCHESTER, VT 05446-6403
(802) 860-4461
(802) 860-4454
Mailing address
1110 PRIM RD, COLCHESTER, VT 05446-6403
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000057
VT
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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