Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0720000067 | VT |
NPI | 1235231820 |
---|---|
Provider Name | Mrs. Sarah Elizabeth Jacobs Trombley |
First Address | South Burlington, VT 05403-6515 |
Second Address | Colchester, VT 05446-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 08/07/2007 |