Individual
HEATHER BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSC, MS, PT, PCS
Contact information
Practice address
913 WEST SHORE RD, SAINT ALBANS BAY, VT 05481
(802) 309-9753
Mailing address
PO BOX 32, ST ALBANS BAY, VT 05481-0032
(802) 309-9753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003132
VT
Other
Enumeration date
08/30/2006
Last updated
08/29/2014
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