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Individual

JODILYNN DORA LAWLISS-CORRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
215 BENMONT AVE, SUITE B, BENNINGTON, VT 05201-1865
(802) 442-9006
(802) 442-9006
Mailing address
215 BENMONT AVE, SUITE B, BENNINGTON, VT 05201-1865
(802) 442-9006
(802) 442-9006

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012230
NY
225100000X
Physical Therapist
Primary
040-0002639
VT

Other

Enumeration date
05/26/2007
Last updated
03/18/2008
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