| NPI | 1053393686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOSEPH VIDETTO President Physical Therapist 802-447-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 108183) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-06-30 |