# AMY D. CANDON, PT, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639554496
- **Authorized official:** AMY D CANDON (PHYSICAL THERAPIST)
- **Authorized official phone:** (802) 238-0446

## Contact information

- **Practice address:** 1 KENNEDY DR UNIT 3, SOUTH BURLINGTON, VT 05403-7152
- **Practice address phone:** (802) 863-3323
- **Mailing address:** 1 KENNEDY DR UNIT 3, SOUTH BURLINGTON, VT 05403-7152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 040.0003503 | VT | Yes |

## Other

- **Enumeration date:** 07/22/2015
- **Last updated:** 05/16/2019
