Provider Demographics
NPI:1134530280
Name:RADEMACHER, MARIA JEAN
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:JEAN
Last Name:RADEMACHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WILD BERRY LN
Mailing Address - Street 2:
Mailing Address - City:UNDERHILL
Mailing Address - State:VT
Mailing Address - Zip Code:05489-9451
Mailing Address - Country:US
Mailing Address - Phone:802-355-4631
Mailing Address - Fax:
Practice Address - Street 1:29 WILD BERRY LN
Practice Address - Street 2:
Practice Address - City:UNDERHILL
Practice Address - State:VT
Practice Address - Zip Code:05489-9451
Practice Address - Country:US
Practice Address - Phone:802-355-4631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer