Individual
MICHELLE RAINEAULT PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R
Contact information
Practice address
1110 PRIM ROAD, COLCHESTER, VT 05446
(802) 860-4497
Mailing address
346 BROWNS TRACE ROAD, JERICHO, VT 05465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0112026
VT
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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