Individual
WAYNE VILLENEUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
277 BLAIR PARK ROAD, SUITE 110, WILLISTON, VT 05495
(802) 878-3600
(802) 879-3041
Mailing address
277 BLAIR PARK ROAD, SUITE 110, WILLISTON, VT 05495
(802) 878-3600
(802) 879-3041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003658
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068910
BCBS
VT
01
—
389334
MVP
VT
Enumeration date
12/04/2006
Last updated
04/16/2013
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