Individual
GAIL WAECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
35 BEL AIRE DR, NEWPORT, VT 05855-4953
(802) 334-2878
Mailing address
328 MAIN ST, APT #1, NEWPORT, VT 05855-4447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056009503
IL
225X00000X
Occupational Therapist
Primary
0720105605
VT
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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