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1023135498
ELIZABETH G BULLOCK
RUTLAND, VT
NPI
1023135498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VT 040-0002629)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- ELIZABETH G BULLOCK P.T.
9 HAYWOOD AVE
RUTLAND, VT 05701-4832
Phone number: 802-747-6428
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Mailing Address
-- ELIZABETH G BULLOCK P.T.
4446 UPPER COLD RIVER RD
SHREWSBURY, VT 05738-9507
Phone number: 802-492-2070
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