Organization
PEAK PHYSICAL THERAPY SPORTS AND PERFORMANCE CENTER, LLC
Active
Other names
Poulin Performance and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DODGE PT (PRESIDENT)
(802) 658-0949
Entity
Organization
Contact information
Practice address
21 GREGORY DR, SOUTH BURLINGTON, VT 05403-6080
(802) 658-0949
Mailing address
21 GREGORY DR, SOUTH BURLINGTON, VT 05403-6080
(802) 658-0949
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
040.0002127
VT
Other
Enumeration date
08/14/2013
Last updated
10/16/2013
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