Individual
TIFFANY L TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEL AIRE DR, NEWPORT, VT 05855-4953
(802) 535-5728
Mailing address
1403 SIMPSON BROOK RD, WATERFORD, VT 05819-9564
(802) 535-5728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0730900230
VT
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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