| NPI | 1275797276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL R JENNESS President 802-849-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400000972) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |