NPI | 1639554496 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY D CANDON Physical Therapist 802-238-0446 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 040.0003503) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2019-05-16 |