KRYSTAL JENNESS

FAIRFAX, VT
NPI1114957131
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VT  0400000972)
Enumeration Date2006-07-04
Last Update Date2007-07-08
Business Address
-- KRYSTAL JENNESS PT
1282 MAIN ST
FAIRFAX, VT 05454-9534
Phone number: 802-849-9308
Mailing Address
-- KRYSTAL JENNESS PT
303 LLOYD RD
FAIRFAX, VT 05454-4403
Phone number:
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