Organization
KIDS REHABGYM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GUTWIN PHYSICAL THERAPIST (BOARD OF DIRECTORS-PRESIDENT)
(802) 876-6000
Entity
Organization
Contact information
Practice address
905 ROOSEVELT HIGHWAY, SUITE 115, COLCHESTER, VT 05446-4475
(802) 861-3600
(802) 861-2812
Mailing address
905 ROOSEVELT HIGHWAY, SUITE 115, COLCHESTER, VT 05446-4475
(802) 861-3600
(802) 861-2812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040-0001080
VT
225100000X
Physical Therapist
040-0002123
VT
225X00000X
Occupational Therapist
072-0051238
VT
261QP2000X
Physical Therapy Clinic/Center
Primary
040-0002985
VT
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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