| NPI | 1124384938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES SULLIVAN-BOL President/ CEO 802-753-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 006.0061495) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VT 006.0061495) |
| 111N00000X Chiropractor (Licence: IL 38-009348) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2024-04-24 |