Individual
MRS. SUSAN M COOLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
69 ALLEN ST, SUITE 1, RUTLAND, VT 05701-4564
(802) 775-3314
(802) 775-9617
Mailing address
69 ALLEN ST, SUITE 1, RUTLAND, VT 05701-4564
(802) 775-3314
(802) 775-9617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055-0030599
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OAP1767
—
VT
Enumeration date
07/21/2005
Last updated
07/08/2007
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