Most Relevant Information
Provider Data
| NPI Number: | 1003678285 |
| Provider Name: | KNOWLES WENTWORTH |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2024 |
| Last Updated: | 01/24/2024 |
Provider Practice Location
51 FAIRVIEW STREET
BRATTLEBORO
VT
053012579
Practice Location Phone/Fax
| Phone: | 8022546028 |
| Fax: | 8022547501 |
Provider Mailing Location
390 RIVER STREET
SPRINGFIELD
VT
051562226
Provider Mailing Phone/Fax
| Phone: | 8028864500 |
| Fax: | 8028864520 |