| NPI | 1831455997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE M BLANCHARD Clinical Director 802-524-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VT 041.0000456) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |