Individual
KERRI N FREDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
71 RICHARDSON ST, NORTHFIELD, VT 05663-5644
(802) 485-3161
(802) 485-6307
Mailing address
PO BOX 495, EAST BARRE, VT 05649-0495
(802) 476-8731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073-0000149
VT
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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