| NPI | 1215294061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ CLAUD Executive Director 802-356-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: VT 040-0074384) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |