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1437778008
THE LIFESTYLE ATHLETE PLC
WILLISTON, VT
NPI
1437778008
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Entity Type
Organization
Authorized Contact
CASEY BACZEWSKI
Owner
802-338-1406
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-04-13
Last Update Date
2024-11-02
Business Address
THE LIFESTYLE ATHLETE PLC
520 AVENUE D
WILLISTON, VT 05495-7136
Phone number: 802-388-2318
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Mailing Address
THE LIFESTYLE ATHLETE PLC
PO BOX 8381
ESSEX, VT 05451-8381
Phone number: 802-338-1406
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