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Individual

DR. MARILYN ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
21 CARMICHAEL ST STE 101, ESSEX JUNCTION, VT 05452-3186
(802) 878-9572
Mailing address
7 WILLOW ST, BURLINGTON, VT 05401-2819
(909) 234-6168

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134424
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011104
VT
01
VN3593
MEDICARE
VT
Enumeration date
05/20/2022
Last updated
05/20/2022
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