| NPI | 1518909100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE SUSAN KAUFMAN President 802-863-6662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VT 040.0000866) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-05-22 |