Individual
DR. MYRA GENE ANN DEGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
85 BEACH ST, DERBY LINE, VT 05830-9302
(802) 673-8315
Mailing address
85 BEACH ST, DERBY LINE, VT 05830-9302
(802) 673-8315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134191
VT
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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