| NPI | 1437694163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA M. CANNIZZARO GOGLIA Manager 802-922-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0003496) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-04-04 |