Individual
MS. SANDRA S BOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, M.ED
Contact information
Practice address
13 ADAMS RD, BRANDON, VT 05733-8408
(802) 247-5998
Mailing address
13 ADAMS RD, BRANDON, VT 05733-8408
(802) 247-5998
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28332 AND 19060
PROVIDER NUMBERS
—
Enumeration date
04/02/2007
Last updated
07/08/2007
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