Individual
MRS. KRISTINA MARGARET MARCUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 GREGORY DR, SOUTH BURLINGTON, VT 05403-6080
(802) 658-0949
(802) 658-1436
Mailing address
73 MCCLELLAN FARM RD, UNDERHILL, VT 05489-9421
(773) 458-0183
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003702
VT
225100000X
Physical Therapist
12405
NC
Other
Enumeration date
06/26/2007
Last updated
08/23/2010
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