NPI | 1609183177 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY CASEY STEIGER Board Of Directors President 802-860-4360 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002123) |
Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: VT 040-0002463) |
225200000X Physical Therapy Assistant | |
2255A2300X Specialist/Technologist Athletic Trainer (Licence: VT 104-0000042) | |
261QP2000X Clinic/Center Physical Therapy | |
Enumeration Date | 2010-09-07 |
Last Update Date | 2020-07-16 |