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Organization
OTTAUQUECHEE PHYSICAL THERAPY SERVICES, LLC
Active
Organization
OTTAUQUECHEE PHYSICAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER PATRICK MAYOCK PT (OWNER)
(802) 457-3215
Entity
Organization
Contact information
Practice address
442 WOODSTOCK RD STE 3A, WOODSTOCK, VT 05091-9794
(802) 457-3215
(802) 457-6118
Mailing address
442 WOODSTOCK RD STE 3A, WOODSTOCK, VT 05091-9794
(802) 457-3215
(802) 457-6118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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