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Individual

MS. LINDA M KOGUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA OTR

Contact information

Practice address
29 STONEFENCE RD, RICHMOND, VT 05477-2202
(802) 434-4036
(802) 434-4036
Mailing address
29 STONEFENCE RD, RICHMOND, VT 05477-2202
(802) 434-4036
(802) 434-4036

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
072.0000063
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750421772
NPI
VT
Enumeration date
09/12/2007
Last updated
07/21/2011
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