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Organization
LIVE FULL THERAPIES LLC
Active
Organization
LIVE FULL THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN OXFORD MS OTR/L (OWNER)
(802) 349-6792
Entity
Organization
Contact information
Practice address
71 MOUNTAIN ST, BRISTOL, VT 05443-1114
(802) 349-6792
Mailing address
71 MOUNTAIN ST, BRISTOL, VT 05443-1114
(802) 349-6792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000261
VT
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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