Individual
MR. TIMOTHY BISSONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-5353
Mailing address
3733 LAKEVIEW DR, NORTH HERO, VT 05474-9822
(802) 372-3117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0063541
VT
Other
Enumeration date
05/22/2010
Last updated
05/22/2010
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