Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 072-0000090 | VT |
NPI | 1003050618 |
---|---|
Provider Name | Dr. Victoria Priganc |
First Address | Richmond, VT 05477-9076 |
Second Address | Richmond, VT 05477-9076 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 29/04/2009 |