Provider Demographics
NPI:1134890056
Name:RESILIENCE, LLC
Entity type:Organization
Organization Name:RESILIENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IRVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:607-237-5240
Mailing Address - Street 1:28 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3166
Mailing Address - Country:US
Mailing Address - Phone:607-237-5240
Mailing Address - Fax:855-202-0563
Practice Address - Street 1:28 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3166
Practice Address - Country:US
Practice Address - Phone:607-237-5240
Practice Address - Fax:855-202-0563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty