Individual
MRS. REBECCA OUELLETTE-MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HAWTHORNE ST, MAPLE TREE PLACE, WILLISTON, VT 05495-8212
(802) 876-6000
Mailing address
276 BUTTERNUT LN, HINESBURG, VT 05461-3108
(802) 482-3213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003698
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069556
BCBS
VT
05
—
1012971
—
VT
Enumeration date
10/26/2006
Last updated
07/08/2007
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