Individual
MRS. KYLIE SUE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3162
Mailing address
150 CORINTH ROAD, CHELSEA, VT 05038-8969
(802) 685-4413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073-0000084
VT
224Z00000X
Occupational Therapy Assistant
1926
NH
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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