| NPI | 1225358310 |
|---|---|
| Doing Business As | FAMILY PHYSCIAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C. PROVENCHER Owner 802-324-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 040-0002724) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |