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Individual

JILL ANN BULAMBAO MALAZARTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
105 CHESTER RD, SPRINGFIELD, VT 05156-2106
(802) 885-5741
Mailing address
105 CHESTER RD, SPRINGFIELD, VT 05156-2106
(802) 885-5741

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009091
CT
225100000X
Physical Therapist
Primary
0400080856
VT

Other

Enumeration date
11/27/2015
Last updated
11/27/2015
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