Individual
MISS 0JESSICA FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2450
Mailing address
PO BOX 5791, BURLINGTON, VT 05402-5791
(802) 578-7151
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0410000486
VT
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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