Individual
MR. TODD RUSSELL REXFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1248 HOSPITAL DR, ST JOHNSBURY, VT 05819-9239
(802) 424-4903
Mailing address
432 JILLS HILL RD, LYNDONVILLE, VT 05851-9406
(802) 626-8214
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0730000112
VT
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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