Search › Vermont › 235Z00000X
Kim De La Rosa, MACCCSLP
NPI 1699130187 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1248 Hospital Dr
St Johnsbury, VT 05819 - Phone
- (802) 748-8757
- Organisation at this address
- Premier Therapy
1248 Hospital Drive Opco Llc
St. Johnsbury Health And Rehabilitation Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- VT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont