Individual
MS. SERENA ANN MAGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 CORNERSTONE DRIVE, STE 315, WILLISTON, VT 05495
(802) 878-3600
(802) 879-3041
Mailing address
300 CORNERSTONE DRIVE, STE 315, WILLISTON, VT 05495
(802) 878-3600
(802) 879-3041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003365
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2532
—
VT
01
—
58035
BCBS
VT
Enumeration date
11/16/2006
Last updated
04/08/2009
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