Provider Demographics
NPI:1346793726
Name:OCCUPATIONAL HEALTH PARTNERS, PLLC
Entity Type:Organization
Organization Name:OCCUPATIONAL HEALTH PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:802-747-1753
Mailing Address - Street 1:9 COMMONS ST
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4652
Mailing Address - Country:US
Mailing Address - Phone:802-747-1753
Mailing Address - Fax:802-747-4061
Practice Address - Street 1:9 COMMONS ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4652
Practice Address - Country:US
Practice Address - Phone:802-747-1753
Practice Address - Fax:802-747-4061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT032.0116156261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine