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Individual
MRS. DEIRDRE M. FOLSOM
Active
Individual
MRS. DEIRDRE M. FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT WCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002522
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013234
—
VT
01
—
11475616
CAQH
VT
01
—
5852001
FAHC
VT
01
—
58710
TVHP
VT
01
—
58710
BCBS
—
01
—
6002139
MVP
VT
Enumeration date
03/23/2006
Last updated
03/13/2017
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