Organization
POWERBACK PEDIATRICS OF VERMONT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COTCHER (EVP OF PEDIATRICS)
(248) 672-2593
Entity
Organization
Contact information
Practice address
861 WILLISTON RD STE 8, SOUTH BURLINGTON, VT 05403-5724
(888) 269-9876
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(888) 269-9876
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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