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Individual

JEFFRY E MICHAELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
577 WASHINGTON HWY, MORRISVILLE, VT 05661-8972
(802) 888-8700
Mailing address
288 N PINNACLE RIDGE RD, WATERBURY, VT 05676-1120
(802) 882-8480

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0090189
VT

Other

Enumeration date
10/15/2018
Last updated
10/15/2018
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