Individual
LORI DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
260 CREST RD STE 101, SAINT ALBANS, VT 05478-9501
(802) 524-1223
(802) 524-1095
Mailing address
260 CREST RD STE 101, SAINT ALBANS, VT 05478-9501
(802) 524-1223
(802) 524-1095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002719
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362883
MVP PROVIDER NUMBER
VT
01
—
49100
BLUE CROSS PROVIDER NUMBE
VT
01
—
8611849
CIGNA PROVIDER NUMBER
VT
Enumeration date
09/16/2006
Last updated
07/08/2007
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