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Individual

KATHERYN S GUERINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1064
(802) 524-1025
Mailing address
133 FAIRFIELD ST, PO BOX 1370, SAINT ALBANS, VT 05478-1726
(802) 524-1064
(802) 524-1025

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003511
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00059120
BLUE CROSS BLUE SHIELD
VT
05
0VN3014
VT
01
391591
MVP HEALTHCARE
Enumeration date
08/30/2006
Last updated
07/08/2007
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