| NPI | 1730148297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN COOK Clinic Director 802-878-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 0400003183) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |