Individual
MS. MARIA ERB THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
80 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 657-7990
(802) 859-8935
Mailing address
80 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 657-7990
(802) 859-8935
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
040-002463
VT
2255A2300X
Athletic Trainer
104-0000042
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006926
—
VT
Enumeration date
01/24/2006
Last updated
06/18/2020
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