| NPI | 1083651673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KONDRA SILLS Owner 802-644-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400002460) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-12-14 |