# NEW MOON PHYSICAL THERAPY AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992300214
- **Authorized official:** DANIELLE MURRAY PT, DPT (CEO)
- **Authorized official phone:** (802) 458-5557

## Contact information

- **Practice address:** 43 SHORT SHANNON ST, MIDDLEBURY, VT 05753-1079
- **Practice address phone:** (802) 458-5557
- **Mailing address:** 43 SHORT SHANNON ST, MIDDLEBURY, VT 05753-1079
- **Mailing address phone:** (802) 458-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/03/2020
- **Last updated:** 12/03/2020