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Individual

MS. LESLIE H RATHBONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
39 CHURCH ST., ROOM 5&6, HARDWICK, VT 05843
(802) 472-9800
(802) 472-9800
Mailing address
PO BOX 1242, HARDWICK, VT 05843-1242
(802) 472-9800
(802) 472-9800

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002140
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002140
FLETCHER ALLEN PREFERRED
VT
01
03036
CBA
VT
05
1011429
VT
01
1765159
CIGNA
VT
01
29874
BLUE CROSS/BLUE SHIELD
VT
01
785248
MVP
VT
Enumeration date
10/17/2006
Last updated
07/08/2007
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