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Organization
CENTER FOR INTEGRATIVE MEDICINE,PLLC
Active
Organization
CENTER FOR INTEGRATIVE MEDICINE,PLLC
Active
Other names
Center for Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DONAHUE (OFFICE MANAGER)
(802) 747-7730
Entity
Organization
Contact information
Practice address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
(802) 747-7730
(802) 773-1609
Mailing address
69 ALLEN ST, SUITE 9, RUTLAND, VT 05701
(802) 747-7730
(802) 773-1609
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
12/01/2006
Last updated
01/29/2008
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