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1760888713
FREDERICK CASEY
BENNINGTON, VT
NPI
1760888713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VT 0410104082)
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- FREDERICK CASEY
325 NORTH ST
BENNINGTON, VT 05201-1937
Phone number: 802-447-6548
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Mailing Address
-- FREDERICK CASEY
265 VALLEY VIEW ROAD.
WEST DOVER, VT 05356
Phone number: 802-464-1213
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