Individual
MS. MARY ELLEN O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
790 COLLEGE PKWY, FANNY ALLEN REHAB, COLCHESTER, VT 05446-3007
(802) 847-6656
Mailing address
206 WOODBINE BY THE LK, UNIT 1, COLCHESTER, VT 05446-7858
(802) 864-4929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003418
VT
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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