Individual
MARISSA ANN SEABLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
812 EXCHANGE ST, MIDDLEBURY, VT 05753-1555
(802) 388-3991
Mailing address
789 PINE ST, BURLINGTON, VT 05401-4933
(802) 264-1052
(802) 264-1053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0094906
VT
Other
Enumeration date
07/15/2013
Last updated
08/20/2013
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