Individual
HEATHER ELIZABETH COLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 879-1703
Mailing address
2459 W COUNTY RD, CALAIS, VT 05648-7594
(802) 272-9654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0060454
VT
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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