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Individual

MRS. JOANN WELLS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
175 WILSON RD, MIDDLEBURY, VT 05753
(802) 388-3533
(802) 388-2334
Mailing address
2 SOUTH LENO LANE, MIDDLEBURY, VT 05753
(802) 388-6256

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400000754
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43V057
MVP
VT
01
7916
BCBS
VT
Enumeration date
05/01/2006
Last updated
07/08/2007
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