Individual
VICTORIA ROSE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 PEARL ST, BURLINGTON, VT 05401-8531
(802) 658-4200
Mailing address
15 CLOVER DR, ESSEX JUNCTION, VT 05452-2247
(802) 879-5292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0133890
VT
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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