Individual
MS. KIMBERLY A BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MED
Contact information
Practice address
111 COLCHESTER AVE, MCHV CAMPUS SHEP 2 PT DEPT, BURLINGTON, VT 05401-1473
(802) 847-4731
(802) 847-3756
Mailing address
45 VALLEYVIEW DR, ESSEX JCT, VT 05452-3825
(802) 878-7271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002341
VT
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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