Individual
MRS. AMY KJELGAARD VAN DER KAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
160 BENMONT AVE, BENNINGTON, VT 05201-1873
(802) 442-5502
Mailing address
379 SWALLOW HILL RD, POWNAL, VT 05261-9104
(802) 823-9848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0400003245
VT
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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