Active NPIIndividual provider

Mrs. Christine D Petterson, OTR

Occupational Therapist in Shelburne, Vermont

NPI Number1174691000
Practice location
4066 Shelburne RD, Suite 8, Shelburne, VT 05482-6905
Fax
802-985-8733
Last updated
July 8, 2007

Christine Denise Petterson is an Occupational Therapist based in Shelburne, VT. Christine Denise Petterson practices in Shelburne, VT and has the professional credentials of OTR. The NPI Number for Christine Denise Petterson is 1174691000 and holds a License No. 072-0000464 (VT). The current practice location address for Christine Denise Petterson is 4066 Shelburne RD, Suite 8, Shelburne, VT 05482-6905 and can be reached out via phone at 802-985-8211 and via fax at 802-985-8733.

Provider Profile Details

NPI Number
1174691000
Provider Name
Christine Denise Petterson
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
4066 Shelburne RD, Suite 8, Shelburne, VT 05482-6905
Phone Number
802-985-8211
Fax Number
802-985-8733
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Other Names
Miss Christine Denise Kennedy, OTR (Former Name)
Provider Enumeration Date
November 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4066 Shelburne RD
Suite 8
Shelburne, VT 05482-6905
State
Vermont
Zip
05482-6905
Phone Number
802-985-8211
Fax Number
802-985-8733
Shelburne, VT 05482Get directions →

Provider Business Mailing Address Details

Address
60 Abigail Dr
Colchester, VT 05446-3875
City
Colchester
State
VT
Zip
05446-3875
Phone Number
802-655-4240

License Information

License Number
072-0000464
License State
VT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Christine D Petterson, OTR?

The NPI number of Mrs. Christine D Petterson, OTR is 1174691000. It was assigned on November 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Christine D Petterson, OTR?

Mrs. Christine D Petterson, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in VT under license number 072-0000464.

Where does Mrs. Christine D Petterson, OTR practice?

The practice location is 4066 Shelburne RD, Suite 8, Shelburne, VT 05482-6905. The office can be reached at 802-985-8211 (phone) or 802-985-8733 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174691000 directly on the NPPES registry website.

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