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Organization
LONG TRAIL ON THE FALLS PHYSICAL THERAPY PC
Active
Organization
LONG TRAIL ON THE FALLS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DIPALERMO P.T. (PRESIDENT)
(802) 877-6991
Entity
Organization
Contact information
Practice address
300 MAIN ST, VERGENNES, VT 05491-1035
(802) 877-6991
(802) 877-6993
Mailing address
300 MAIN ST, VERGENNES, VT 05491-1035
(802) 877-6991
(802) 877-6993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003304
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007049
—
VT
Enumeration date
03/09/2011
Last updated
03/09/2011
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