Individual
ALEXIS HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
192 TILLEY DR, OSC - REHAB THERAPIES, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7003
(802) 847-6987
Mailing address
192 TILLEY DR, OSC - REHAB THERAPIES, SOUTH BURLINGTON, VT 05403-4440
(802) 847-7003
(802) 847-6987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003700
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013020
—
VT
Enumeration date
12/04/2006
Last updated
12/12/2011
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