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Individual

KEVIN G CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSA PT OCS

Contact information

Practice address
192 TILLEY DR, MAILSTOP 438OC1, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7011
(802) 847-6987
Mailing address
192 TILLEY DR, MAILSTOP 438OC1, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7011
(802) 847-6987

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41110210
VT

Other

Enumeration date
10/19/2006
Last updated
08/10/2010
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