Individual
MR. JOSHUA EARL WELLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
21 GREGORY DR, C/O POULIN PERFORMANCE, INC., SOUTH BURLINGTON, VT 05403-6080
(802) 658-0949
(802) 658-1436
Mailing address
21 GREGORY DR, C/O POULIN PERFORMANCE, INC., SOUTH BURLINGTON, VT 05403-6080
(802) 658-0949
(802) 658-1436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0226101
NY
2251X0800X
Orthopedic Physical Therapist
Primary
0400061031
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10064961
CDPHP
—
Enumeration date
03/07/2006
Last updated
03/19/2010
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