Organization
GREEN MOUNTAIN PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNNA HOULE DPT, PRESIDENT (PRESIDENT)
(603) 298-5595
Entity
Organization
Contact information
Practice address
103 S MAIN ST, WEST LEBANON, NH 03784-1618
(603) 298-5595
(603) 298-5205
Mailing address
103 S MAIN ST, WEST LEBANON, NH 03784-1618
(603) 298-5595
(603) 298-5205
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NH
Other
Enumeration date
03/07/2007
Last updated
07/21/2022
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