Healthcare Provider Details

I. General information

NPI: 1083709505
Provider Name (Legal Business Name): JENNIFER MAY ELSINGER OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 TILLEY DR ORTHOPEDIC SPECIALTY CENTER
SOUTH BURLINGTON VT
05403-4440
US

IV. Provider business mailing address

116 HIDDEN PINES CIRCLE
RICHMOND VT
05477
US

V. Phone/Fax

Practice location:
  • Phone: 802-847-7910
  • Fax:
Mailing address:
  • Phone: 802-434-2039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number072-0000272
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: