Individual
JAIME ANN LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 TIMBER LN, SOUTH BURLINGTON, VT 05403-7205
(802) 847-2391
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-6996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003512
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4124859
MVP
VT
01
—
5265603
VMC
VT
01
—
59223
BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/29/2007
Last updated
08/30/2016
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