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Individual

ALISON O'CONNOR SUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, OTC, AEMT

Contact information

Practice address
385 MOUNTAIN ESTS, HYDE PARK, VT 05655-4467
(802) 343-3379
Mailing address
PO BOX 7953, AVON, CO 81620-7953
(802) 343-3379

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
100360
VT
2255A2300X
Athletic Trainer
Primary
104.0068948
VT
246ZX2200X
Orthopedic Assistant

Other

Enumeration date
03/02/2011
Last updated
07/12/2022
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