Individual
LISA AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31 MIDDLE ST., NORTHERN PHYSICAL THERAPY, PC, LYNDONVILLE, VT 05851
(802) 626-4224
(802) 626-5042
Mailing address
PO BOX 1346, LYNDONVILLE, VT 05851-1346
(802) 626-4224
(802) 626-5042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002859
VT
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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