| NPI | 1962805515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI WILHELM Owner/Manager/Physical Therapist 802-989-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040.0003639) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2015-01-15 |