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Organization
NORTHEAST KINGDOM PHYSICAL THERAPY PC
Active
Organization
NORTHEAST KINGDOM PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L HOGAN M.S.P.T. (OWNER)
(802) 334-8558
Entity
Organization
Contact information
Practice address
235 LAKEMONT RD, NEWPORT, VT 05855-9507
(802) 334-8558
(802) 334-8559
Mailing address
235 LAKEMONT RD, NEWPORT, VT 05855-9507
(802) 334-8558
(802) 334-8559
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/23/2007
Last updated
09/19/2012
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