Organization
GREEN MOUNTAIN OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL BOULGER (OWNER)
(802) 447-2900
Entity
Organization
Contact information
Practice address
469 MAIN ST, SUITE 1, BENNINGTON, VT 05201-2159
(802) 447-2900
Mailing address
469 MAIN ST, SUITE 1, BENNINGTON, VT 05201-2159
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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