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 |