| NPI | 1316055924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE LACAILLADE Bus. Ofc. Mgr. 802-879-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-08-04 |