Individual
JUSTINE MARY LERCARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
9 HAYWOOD AVE, RUTLAND, VT 05701-4832
(802) 775-0007
Mailing address
223A YORK STREET, POULTNEY, VT 05764
(845) 321-9361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
072.0109090
VT
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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