| NPI | 1912053554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP L SWEET Designated Director 802-253-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002513) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-10-10 |