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Organization
PEDIATRIC PHYSICAL THERAPY SERVICES PC
Active
Organization
PEDIATRIC PHYSICAL THERAPY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM PERKINS KELLEY PT, MED. (PRESIDENT)
(802) 388-1153
Entity
Organization
Contact information
Practice address
40 HIGH ST, MIDDLEBURY, VT 05753-1209
(802) 388-1153
(802) 388-1153
Mailing address
40 HIGH ST, MIDDLEBURY, VT 05753-1209
(802) 388-1153
(802) 388-1153
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
040-0002043
VT
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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