| NPI | 1750580858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PERKINS KELLEY President 802-388-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: VT 040-0002043) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |