| NPI | 1689705139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ELSINGER Member 802-861-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 040-0003248) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: VT 040-0003401) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-11-08 |