Organization
NORTHERN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PALMER (VP OF ADMIN)
(802) 626-4224
Entity
Organization
Contact information
Practice address
569 MAIN ST, LYNDONVILLE, VT 05851
(802) 626-4224
(802) 626-5042
Mailing address
PO BOX 1346, LYNDONVILLE, VT 05851-1346
(802) 626-4224
(802) 626-5042
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010588
—
VT
01
—
2222648
CCN
—
01
—
NORN68057
BCBS
VT
Enumeration date
11/01/2006
Last updated
04/20/2016
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