Individual
MRS. JOANNAH HOPE ROUSH-CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
88 PARK ST, RUTLAND, VT 05701-4710
(802) 775-7612
Mailing address
504 STEVENS RD, PITTSFORD, VT 05763-9219
(802) 558-5096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073-0000159
VT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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