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1366969917
MILES COLISON DERRICK
WAITSFIELD, VT
NPI
1366969917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VT 104.0131948)
Enumeration Date
2017-08-24
Last Update Date
2017-08-24
Business Address
Mr. MILES COLISON DERRICK ATC
271 MOULTON ROAD
WAITSFIELD, VT 05673-7070
Phone number: 802-496-6344
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Mailing Address
Mr. MILES COLISON DERRICK ATC
271 MOULTON ROAD
WAITSFIELD, VT 05673-7070
Phone number: 802-496-6344
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