Individual
MRS. PAMELA KONDRA SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
PO BOX 103, JEFFERSONVILLE, VT 05464-0103
(802) 644-8011
(802) 644-8047
Mailing address
PO BOX 103, JEFFERSONVILLE, VT 05464
(802) 644-8011
(802) 644-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002460
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008739
—
VT
Enumeration date
06/12/2006
Last updated
11/16/2018
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