Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 072-0000339 | VT |
NPI | 1659473569 |
---|---|
Provider Name | Gretchen Mary Daly |
First Address | Underhill, VT 05489-9499 |
Second Address | Colchester, VT 05446-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 08/07/2007 |