Individual
MRS. ELISE CUNNINGHAM CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 MEAD FARM RD, HINESBURG, VT 05461-9318
(802) 482-7200
Mailing address
451 MEAD FARM RD, HINESBURG, VT 05461-9318
(802) 482-7200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0410000410
VT
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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