Individual
SOPHIE GRACE LANING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2450
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134008
VT
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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