Individual
MS. MORGAN PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
235 LAKEMONT RD, NEWPORT, VT 05855-9690
(802) 334-8558
(802) 334-8559
Mailing address
235 LAKEMONT RD, NEWPORT, VT 05855-9690
(802) 334-8558
(802) 334-8559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400086532
VT
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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