Organization
TIMBERLANE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLI R BELL PT (OWNER PRESIDENT)
(802) 864-3785
Entity
Organization
Contact information
Practice address
321 MAIN STREET, SUITE D, WINOOSKI, VT 05404
(802) 864-3785
(802) 864-0274
Mailing address
321 MAIN STREET, SUITE D, WINOOSKI, VT 05404
(802) 864-3785
(802) 864-0274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00018200
BLUE CROSS
—
Enumeration date
11/10/2006
Last updated
04/11/2013
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