Individual
JOHN R. DE BITETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3800 MAIN STREET, MANCHESTER, VT 05254
(802) 768-8369
Mailing address
PO BOX 2493, MANCHESTER CENTER, VT 05255-2493
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
040.0102092
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010520
CIGNA HMO
NY
01
—
113566467
MAGNACARE
NY
01
—
113566467-02
1199 NAT'L BENEFIT FUND
NY
01
—
12440
HUDSON HEALTH PLAN
NY
01
—
1845988004
UNITED HEALTHCARE
NY
01
—
2814489
AETNA
NY
01
—
38086P
HIP
NY
01
—
5901197
CIGNA PPO
NY
01
—
61084
GHI HMO
NY
01
—
6604216
GHI PPO
NY
01
—
6C2388
HEALTH NET
NY
01
—
P2565190
OXFORD
NY
01
—
QC82210
BLUE CROSS BLUE SHIELD
NY
Enumeration date
05/02/2007
Last updated
10/16/2018
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