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Organization
EXCEL PHYSICAL THERAPY INC
Active
Organization
EXCEL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE J BRADLEY PT (OWNER PRESIDENT)
(802) 893-7427
Entity
Organization
Contact information
Practice address
184 ROUTE 7 SOUTH, MILTON, VT 05468-0776
(802) 893-7427
(802) 893-7429
Mailing address
PO BOX 776, 184 ROUTE 7 SOUTH, MILTON, VT 05468-0776
(802) 893-7427
(802) 893-7429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028711
BLUE CROSS BLUE SHIELD
VT
05
—
1006990
—
VT
Enumeration date
09/11/2006
Last updated
11/30/2007
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