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Individual

MARY BENYO CHUDZIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1878 MOUNTAIN ROAD, SUITE 1, STOWE, VT 05677
(802) 253-2273
(802) 253-7754
Mailing address
1878 MOUNTAIN ROAD, SUITE 1, STOWE, VT 05677
(802) 253-2273
(802) 253-7754

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58091
BCBS
VT
05
OVN2580
VT
Enumeration date
08/11/2006
Last updated
07/08/2007
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