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Individual

KELLY HOLLINGWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-0000
Mailing address
392 NORTH AVE # 2, BURLINGTON, VT 05401-2922
(860) 942-0158

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0720111071
VT

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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