Organization
MARY C. HEALY
Active
Other names
Therapeutic Dimensions
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY CATHLEEN HEALY OTR/L, BCP (OWNER)
(802) 457-4487
Entity
Organization
Contact information
Practice address
57 US RT 4, HARTLAND, VT 05048
(802) 457-4487
(802) 457-9428
Mailing address
PO BOX 36, TAFTSVILLE, VT 05073-0036
(802) 457-4487
(802) 457-9428
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0720000071
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTSE00019121
VT BLUECROSSBLUESHIELD
VT
Enumeration date
08/06/2007
Last updated
08/06/2007
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