Individual
MRS. SUSAN BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
16 BENTON DR, CHITTENDEN, VT 05737-4403
(802) 353-3557
Mailing address
PO BOX 31, CHITTENDEN, VT 05737-0031
(802) 353-3557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000208
VT
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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