NPI 1053868307

Keith Desilets, COTA

Practitioner Occupational Therapy Assistant Springfield, VT

Practice location

Address: 105 Chester Rd, Springfield, VT 05156-2106
Phone: (802) 885-5741
Mailing address: 12 Block Ave APT 2, Claremont, NH 03743-5150

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 073.0123506 (VT)

Other Occupational Therapy Assistant providers in Vermont →

Registry record

NPI: 1053868307
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2016
Record last updated: 3 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.