Individual
SARAH E MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
426 INDUSTRIAL AVE, SUITE 190, WILLISTON, VT 05495-4448
(802) 860-4360
(802) 488-3160
Mailing address
48 LAFOUNTAIN ST, WINOOSKI, VT 05404-1846
(802) 734-3130
(802) 488-3160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0103233
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040-0103233
PROFESSIONAL STATE LICENSE
VT
Enumeration date
07/30/2014
Last updated
07/30/2014
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