Individual
MAXINE HARRIS STENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
184 GREEN ST, BRATTLEBORO, VT 05301-6054
(802) 254-3779
Mailing address
401 KIPLING RD, BRATTLEBORO, VT 05301-9083
(802) 257-7337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000042
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007461
—
VT
Enumeration date
03/19/2007
Last updated
07/08/2007
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