Individual
GREG DEPAOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 BLACKBERRY LN, BENNINGTON, VT 05201-2300
(802) 442-8525
Mailing address
2094 ROUTE 2, PETERSBURGH, NY 12138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
010270
NY
224Z00000X
Occupational Therapy Assistant
Primary
073.0900257
VT
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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