Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 072.0000015 | VT |
NPI | 1881075042 |
---|---|
Provider Name | Katherine Tapp Piispanen |
First Address | Arlington, VT 05250-0406 |
Second Address | Bennington, VT 05201-1937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2015 |
Last Update Date | 13/06/2015 |