Individual
MS. MARIA DELLIVENERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4740 MAIN ST, WAITSFIELD, VT 05673
(518) 527-3725
Mailing address
4740 MAIN ST, WAITSFIELD, VT 05673-4407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001728
NY
2255A2300X
Athletic Trainer
Primary
104.0066351
VT
Other
Enumeration date
06/17/2009
Last updated
07/01/2010
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