Individual
IRVIN EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
28 SCHOOL ST, MONTPELIER, VT 05602-3166
(607) 237-5240
(855) 202-0563
Mailing address
28 SCHOOL ST STE 1, MONTPELIER, VT 05602-3050
(607) 237-5240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0134021
VT
Other
Enumeration date
08/23/2018
Last updated
09/21/2021
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