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Organization
VASTA PT WATERBURY LLC
Active
Organization
VASTA PT WATERBURY LLC
Active
Other names
VASTA Performance Training and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ALBERTSON DPT (OWNER)
(802) 399-2244
Entity
Organization
Contact information
Practice address
80 S MAIN ST STE 6, WATERBURY, VT 05676-1540
(802) 399-2244
Mailing address
98 ELFIN LN, CHARLOTTE, VT 05445-9733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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