Individual
MR. HUGH MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3800 MAIN STREET, MANCHESTER, VT 05254-0407
(802) 362-4004
(802) 362-4004
Mailing address
825 E MANCHESTER ROAD, PO BOX 407, MANCHESTER, VT 05254-0407
(802) 362-1692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000747
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410052
MVP
VT
01
—
S9671
BCBS
VT
05
—
VN 3295
—
VT
Enumeration date
11/15/2006
Last updated
07/08/2007
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