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Individual

DEBORAH GADDES HARTENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR CHT

Contact information

Practice address
5 ALBERT CREE DR, VERMONT SPORTS MEDICINE CENTER, RUTLAND, VT 05701
(802) 775-1300
(802) 773-9300
Mailing address
5 ALBERT CREE DR, VERMONT SPORTS MEDICINE CENTER, RUTLAND, VT 05701
(802) 775-1300
(802) 773-9300

Taxonomy

Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
9105000479
IL
225X00000X
Occupational Therapist
Primary
0720000005
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00018798
BCBS
VT
01
43426
MVP
01
7534587
AETNA
05
OVN2136
VT
Enumeration date
07/27/2006
Last updated
01/08/2009
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