Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 0720000373 | VT |
NPI | 1306497409 |
---|---|
Provider Name | Stephanie Veit |
First Address | Salem, NH 03079-4804 |
Second Address | Salem, NH 03079-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2019 |
Last Update Date | 20/09/2019 |