Individual
LISA EVE HURWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3161
Mailing address
272 HIGH BRIDGE RD, WAITSFIELD, VT 05673-7288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720066529
VT
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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