Individual
LUANN BELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30 HAWTHORNE ST, MAPLE TREE PLACE, WILLISTON, VT 05495-8212
(802) 876-6000
(802) 876-6003
Mailing address
30 HAWTHORNE ST, MAPLE TREE PLACE, WILLISTON, VT 05495-8212
(802) 876-6000
(802) 876-6003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041-0000386
VT
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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