Northeast Kingdom Physical Therapy Pc

NPI 1417175761 - Clinic/Center - 261QP2000X

NPI Details
NPI 1417175761
Enumeration Date 04/23/2007
Last Updated 09/19/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM L WILLIAM
Position OWNER
Phone (802) 334-8558
Fax (802) 334-8559
Practice Location
235 LAKEMONT RD
NEWPORT VT, 05855-9507, US
Phone (802) 334-8558
Fax (802) 334-8559
Business Location
235 LAKEMONT RD
NEWPORT VT, 05855-9507, US
Phone (802) 334-8558
Fax (802) 334-8559
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Northeast Kingdom Physical Therapy Pc NPI is 1417175761, taxonomy code is 261QP2000X Northeast Kingdom Physical Therapy Pc physically located at 235 Lakemont Rd, Newport VT, 05855-9507. NPI Number 1033115704 has the healthcare provider type.

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1417175761 NPI number is provided on an as is basis without warranty of any kind. 1417175761 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Kingdom Physical Therapy Pc are for informational purposes only.