Provider Demographics
NPI:1902920812
Name:PINSOFDEPILLIS, DEBRA (OT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:PINSOFDEPILLIS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MONSIGNOR CROSBY AVE
Mailing Address - Street 2:#2
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3787
Mailing Address - Country:US
Mailing Address - Phone:802-505-1740
Mailing Address - Fax:
Practice Address - Street 1:2 MONSIGNOR CROSBY AVE
Practice Address - Street 2:# 2
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3787
Practice Address - Country:US
Practice Address - Phone:802-505-1740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0200X
VT072.0092491225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics