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Individual
JEFFREY MICHAEL LOOK
Active
Individual
JEFFREY MICHAEL LOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003331
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03014375
GREAT WEST
VT
01
—
030514375
CBA
VT
05
—
1011942
—
VT
01
—
384012
MVP
VT
01
—
58817
BC/BS
VT
01
—
6152701
FAHC/VMC PREFERRED APEX
VT
01
—
DOL605524500
OWCP
VT
Enumeration date
03/15/2006
Last updated
05/25/2016
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