Organization
SUNRISE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA KONDRA SILLS P.T. (OWNER)
(802) 644-8011
Entity
Organization
Contact information
Practice address
44 LAMOILLE VIEW LN, JEFFERSONVILLE, VT 05464-4427
(802) 644-8011
(802) 644-8047
Mailing address
44 LAMOILLE VIEW LN, P.O. BOX 103, JEFFERSONVILLE, VT 05464-4427
(802) 644-8011
(802) 644-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002460
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN3053
—
VT
Enumeration date
06/01/2006
Last updated
12/14/2007
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