Individual
LYNNE DENISSE COMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
36 CHICKERING DR, SUITE 106, BRATTLEBORO, VT 05301-4419
(802) 258-2337
(802) 258-2307
Mailing address
36 CHICKERING DR, SUITE 106, BRATTLEBORO, VT 05301-4419
(802) 258-2337
(802) 258-2307
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003514
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3250349
CIGNA PROVIDER NUMBER
VT
01
—
362873
MVP PROVIDER NUMBER
VT
01
—
59420
BLUE CROSS PROVIDER NUMBE
VT
Enumeration date
09/16/2006
Last updated
07/08/2007
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