| NPI | 1639482664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD P. LEFKOE Member 802-388-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VT 042-0009179) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-12-22 |