| NPI | 1891749479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE MARIE BLANCHARD Clinical Director 802-524-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-11-19 |