Individual
HEIDI E WEHR-KUBALOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
147 S MAIN ST, #2B, STOWE, VT 05672-5198
(802) 760-7340
Mailing address
PO BOX 1204, STOWE, VT 05672-1204
(802) 760-7340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003611
VT
Other
Enumeration date
02/02/2007
Last updated
10/17/2010
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