Individual
MS. POLLY MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
32 PITKIN ST, BURLINGTON, VT 05401-5120
(802) 859-0788
Mailing address
32 PITKIN ST, BURLINGTON, VT 05401-5120
(802) 859-0788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002509
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29770
BLUE CROSS BLUE SHIELD
VT
01
—
364001
MVP INSURANCE
VT
01
—
4109991
CIGNA HEALTHCARE
VT
01
—
4696401
FLETCHER ALLEN HEALTH CAR
VT
Enumeration date
12/13/2006
Last updated
07/08/2007
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