| NPI | 1932565611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WHITTEMORE CFO 802-885-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 854) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |