Provider Demographics
NPI:1326250085
Name:DEWOLFE, ABIGAIL LOVEDAY GREENE (BS OTR)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:LOVEDAY GREENE
Last Name:DEWOLFE
Suffix:
Gender:F
Credentials:BS OTR
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Mailing Address - Street 1:47 WHITE BIRCH LANE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-0938
Mailing Address - Country:US
Mailing Address - Phone:802-864-5849
Mailing Address - Fax:
Practice Address - Street 1:1110 PRIM ROAD
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446
Practice Address - Country:US
Practice Address - Phone:802-658-1900
Practice Address - Fax:802-860-4454
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT0720000377225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics