Individual
PAMELA LOUISE FLETCHER MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5468 MAIN ST, MANCHESTER CENTER, VT 05255-9481
(802) 362-2126
(802) 362-4884
Mailing address
5468 MAIN ST, PO BOX 1224, MANCHESTER CENTER, VT 05255-9481
(802) 362-2126
(802) 362-4884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0093531
NY
225100000X
Physical Therapist
Primary
0400089086
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02018880
—
NY
Enumeration date
06/04/2006
Last updated
08/21/2014
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