| NPI | 1891730453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE MORRIS President 802-773-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002998) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VT 040-0002998) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: VT 040-0002998) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2013-10-21 |