Individual
MRS. TAMRA F MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3511 RICHVILLE RD, MANCHESTER, VT 05255
(802) 362-1151
Mailing address
PO BOX 121, PERU, VT 05152-0121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000028
VT
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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