| Organization Name: | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A. |
| NPI Number: | 1003936634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Mailing Address: | 110 Kimball Ave. Suite 115 South Burlington |
| State: | VT US |
| Postal Code: | 05403 |
| Phone Number: | 8026585756 |
| Fax Number: | 8028650042 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 10/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |