| NPI | 1134202229 |
|---|---|
| Doing Business As | SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROGER DESHAIES Chief Financial Officer 802-847-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 668) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-09-08 |