| NPI | 1073717112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNE BRETON RICHARDSON Owner Physical Therapist 802-334-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400003488) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-12-07 |