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Organization
FAMILY PHYSCIAL THERAPY, INC.
Active
Organization
FAMILY PHYSCIAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE D. COLLINS M.S., P.T., AT,C. (DIRECTOR)
(802) 244-1140
Entity
Organization
Contact information
Practice address
137 S MAIN ST, WATERBURY, VT 05676-1515
(802) 244-1140
(802) 244-6851
Mailing address
137 S MAIN ST, WATERBURY, VT 05676-1515
(802) 244-1140
(802) 244-6851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010606
—
VT
01
—
19023
BCBS PT PROVIDER OFFICE
VT
01
—
4535416
CIGNA PT PROVIDER OFFICE
VT
01
—
CJ3697
MEDICARE RR
VT
01
—
VT0128
MVP PT PROVIDER OFFICE
VT
Enumeration date
09/30/2006
Last updated
08/22/2020
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