STACIE LYNN OTIS

SPRINGFIELD, VT
NPI1295050912
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VT  041.0000358)
Enumeration Date2010-04-06
Last Update Date2010-04-06
Business Address
-- STACIE LYNN OTIS PTA
25 RIDGEWOOD RD
SPRINGFIELD, VT 05156-3050
Phone number: 802-885-2151
Mailing Address
-- STACIE LYNN OTIS PTA
165 PARK ST
SPRINGFIELD, VT 05156-3035
Phone number: 802-885-4550
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