| NPI | 1912270075 |
|---|---|
| Doing Business As | LIVING WELL SPINAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY RENAUD President/CEO 802-658-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0002889) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-05-08 |