Individual
MS. JANE SUSAN KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
ONE KENNEDY DRIVE, SUITE L2, SO BURLINGTON, VT 05403
(802) 863-6662
(802) 861-2224
Mailing address
PO BOX 4061, BURLINGTON, VT 05406
(802) 863-6662
(802) 861-2224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400000866
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007600
—
VT
01
—
11351767
CAQH
VT
01
—
4726
TVHP
VT
01
—
5277601
FAHC
VT
01
—
714581
MVP
VT
Enumeration date
06/20/2006
Last updated
02/22/2008
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