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NPI Code Detail

MEDICARE: MS. LINDA MARIE SHERIDAN OTR/L

MEDICARE: MS. LINDA MARIE SHERIDAN OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist072-0000032VT

General Provider Information

NPI Number : 1447366265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA MARIE SHERIDAN OTR/L
Provider Business Mailing Address
First Line : 168 HOME AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-5046
Country : US
Telephone Number : 802-863-2961
Fax Number :
Provider Business Practice Location Address
First Line : 158 HURRICANE LN
Second Line :
City : WILLISTON
State : VT
Zip : 05495-2072
Country : US
Telephone Number : 802-847-0759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/08/2007

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