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Individual

MINDY LEE COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS PT

Contact information

Practice address
145 PINE HAVEN SHORES RD STE 1000, SHELBURNE, VT 05482-7812
(802) 304-4048
(802) 658-1436
Mailing address
15 CONIFER CT, BURLINGTON, VT 05401-5915
(802) 999-7101

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3179
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1006922
VT
Enumeration date
07/17/2006
Last updated
05/10/2023
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