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Individual

ROBIN CELESTE WATERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
34 MONUMENT AVE, BENNINGTON, VT 05201-2130
(802) 442-9387
Mailing address
34 MONUMENT AVE, BENNINGTON, VT 05201-2130

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040-0002968
VT
225100000X
Physical Therapist
Primary
05001708A
IN
225100000X
Physical Therapist
PT00001719
ME

Other

Enumeration date
06/06/2008
Last updated
06/10/2008
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