Individual
MS. HEATHER MARIE RIZK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
INTERSECTIONS OF RTS 4 AND 12, TAFTSVILLE, VT 05073
(802) 457-4487
(802) 457-9428
Mailing address
26 S MENDON RD, MENDON, VT 05701-9643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000386
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059215
BCBS OF VERMONT
VT
Enumeration date
12/22/2006
Last updated
07/08/2007
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