| NPI | 1861423873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D ELLSWORTH Physical Therapist 802-879-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 0400003140) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |