Organization
GESTALT THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA RIDDLE OT (OWNER AND PROVIDER)
(802) 793-8589
Entity
Organization
Contact information
Practice address
28 DANIEL DR, BARRE, VT 05641-5235
(802) 793-8589
Mailing address
28 DANIEL DR, BARRE, VT 05641-5235
(802) 793-8589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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