| NPI | 1215052584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER HALL Owner 802-876-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: VT 0400003506) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-09-11 |