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Individual

MRS. MARY ANN MESHAKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-0000
Mailing address
13 KRISTE LN, JERICHO, VT 05465-2547
(802) 899-3408

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000219
VT

Other

Enumeration date
01/15/2007
Last updated
07/08/2007
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