Individual
RUTH ELLEN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2385 N. FAYSTON RD., FAYSTON, VT 05673-0455
(802) 496-2353
Mailing address
2385 N. FAYSTON RD., WAITSFIELD, VT 05673-0455
(802) 496-2353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000051
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072-0000051
OT LICENSE
VT
Enumeration date
01/02/2007
Last updated
07/08/2007
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