Organization
GAIL OBRIEN PT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL O'BRIEN PT (OWNER)
(802) 447-7878
Entity
Organization
Contact information
Practice address
215 BENMONT AVE, SUIT A, BENNINGTON, VT 05201-1865
(802) 447-7878
(802) 442-9006
Mailing address
215 BENMONT AVE, SUIT A, BENNINGTON, VT 05201-1865
(802) 447-7878
(802) 442-9006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0001060
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2106
—
VT
Enumeration date
11/02/2007
Last updated
11/02/2007
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