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NPI Code Detail

MEDICARE: KATHERINE TAPP PIISPANEN OTR

MEDICARE: KATHERINE TAPP PIISPANEN OTR
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
1225XG0600XGerontology Occupational Therapist072.0000015VT

General Provider Information

NPI Number : 1881075042
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE TAPP PIISPANEN OTR
Provider Business Mailing Address
First Line : PO BOX 406
Second Line :
City : ARLINGTON
State : VT
Zip : 05250-0406
Country : US
Telephone Number : 802-430-7072
Fax Number :
Provider Business Practice Location Address
First Line : 325 NORTH ST
Second Line :
City : BENNINGTON
State : VT
Zip : 05201-1937
Country : US
Telephone Number : 802-442-6353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2015
Last Update Date : 06/13/2015

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Directions to “ KATHERINE TAPP PIISPANEN OTR” Practice Location

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