Individual
BEATRICE L HENRIKSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
61 GREENWAY DR., VERNON HOUSE, VERNON, VT 05354-9474
(802) 254-6041
Mailing address
PO BOX 445, GLENMONT, NY 12077-0445
(518) 396-9083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0075595
VT
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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