Individual
GINGER DOCKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
49 CEDAR HILL DR, WINDSOR, VT 05089-9470
(802) 674-6609
Mailing address
20 AIRPORT RD, NORTH SPRINGFIELD, VT 05150-9200
(802) 952-8604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000540
VT
225200000X
Physical Therapy Assistant
0706
NH
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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