Organization
WORKABILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MARK COLEMAN OT (OWNER)
(802) 383-8116
Entity
Organization
Contact information
Practice address
208 FLYNN AVE STE 3E, BURLINGTON, VT 05401-5429
(802) 383-8116
Mailing address
59 TIMBER RDG, UNDERHILL, VT 05489-9637
(802) 383-8116
(802) 881-0559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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