Individual
MS. DIANE C DOUBLEDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
223 S WINDSOR ST, SOUTH ROYALTON, VT 05068-9625
(802) 763-8840
Mailing address
10611 SOUTH RD, WOODSTOCK, VT 05091-4434
(802) 457-3365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000469
VT
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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