Individual
JERRY DURGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MOUNTAIN VIEW RD, BENNINGTON, VT 05201-2767
(207) 717-0992
Mailing address
201 MOUNTAIN VIEW RD., BENNINGTON, VT 05201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0115886
VT
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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