Individual
LARISSA HINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9820
(802) 334-7331
Mailing address
383 HOLBROOK BAY CMNS APT 17, NEWPORT CENTER, VT 05857-9315
(508) 521-3039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0112027
VT
225X00000X
Occupational Therapist
10543
MA
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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