NPI | 1457674038 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON GUTWIN Board Of Directors President 802-876-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 040-0002985) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0002123) |
225100000X Physical Therapist (Licence: VT 040-0001080) | |
225X00000X Occupational Therapist (Licence: VT 072-0051238) | |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |