Manavi Romit Dalal

Individual provider Active NPI Occupational Therapist · Burlington, VT

NPI 1750105516 · NPPES record last updated Nov 13, 2024

Key facts

NPI
1750105516
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
072.0134516 (VT)
Practice address
111 Colchester Ave
Burlington, VT 05401-1473
Phone
(802) 847-2450
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10357MDMDOccupational Therapist
072.0134516VTMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10357 MD
Occupational Therapist 225X00000X 072.0134516 VT Yes

Addresses

Primary practice location

111 Colchester Ave
Burlington, VT 05401-1473

Mailing address

10707 Weeping Willow LN
Beltsville, MD 20705-3820
Phone (412) 214-2789

Other providers in Burlington, VT

All providers in Burlington, VT · Occupational Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.