Basic Information
| Provider Information | |||||||||
| NPI: | 1972074722 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | STAPLES | ||||||||
| FirstName: | EMILY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 QUARRY HILL RD APT 17 | ||||||||
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| City: | SOUTH BURLINGTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054036180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2075548988 | ||||||||
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| Practice Location | |||||||||
| Address1: | 792 COLLEGE PKWY | ||||||||
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| City: | COLCHESTER | ||||||||
| State: | VT | ||||||||
| PostalCode: | 054463052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8028470000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2018 | ||||||||
| LastUpdateDate: | 12/05/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 072.0131708 | VT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.