Individual
MR. GREGORY MARK COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
59 TIMBER RDG RD, UNDERHILL, VT 05489
(802) 899-2790
Mailing address
59 TIMBER RDG RD, UNDERHILL, VT 05489
(802) 899-2790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720000390
VT
Other
Enumeration date
01/08/2007
Last updated
02/10/2010
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