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Organization
PT 360 INC
Active
Organization
PT 360 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY CASEY STEIGER PHYSICAL THERAPIST (BOARD OF DIRECTORS - PRESIDENT)
(802) 860-4360
Entity
Organization
Contact information
Practice address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-4448
(802) 860-4360
(802) 488-3160
Mailing address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-7904
(802) 860-4360
(802) 488-3160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002123
VT
2251S0007X
Sports Physical Therapist
040-0002463
VT
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
104-0000042
VT
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018137
—
VT
01
—
DT6174
RR MEDICARE
VI
Enumeration date
09/07/2010
Last updated
07/16/2020
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