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Organization
PATRICK J. COOLEY, D.C., P.T., P.C.
Active
Organization
PATRICK J. COOLEY, D.C., P.T., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J. COOLEY D.C., P.T. (OWNER)
(802) 773-7700
Entity
Organization
Contact information
Practice address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Mailing address
71 ALLEN ST, SUITE 203, RUTLAND, VT 05701-4570
(802) 773-7700
(802) 773-7720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68844 - PT
BLUE CROSS BLUE SHIELD
VT
01
—
68845 - CHIRO
BLUE CROSS BLUE SHIELD
VT
01
—
DE4922
RAILROAD MEDICARE-GROUP #
GA
01
—
V169
CDPHP GROUP
VT
Enumeration date
08/21/2007
Last updated
03/19/2014
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