Individual
DR. JILL GOTTEHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
215 N MAIN ST DESK 100, WHITE RIVER JUNCTION, VT 05009-0001
(914) 400-4976
Mailing address
26 HEMENWAY ST, BOSTON, MA 02115-2949
(914) 400-4976
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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