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Organization

PROACTIVE PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARCI WHITEHORNE (OWNER)
(802) 775-4372
Entity
Organization

Contact information

Practice address
279 BUSINESS ROUTE 4 STE 1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
(802) 775-4918
Mailing address
279 BUSINESS ROUTE 4 STE 1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
(802) 775-4918

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/08/2024
Last updated
02/15/2024
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