Individual
JENNIFER L MOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
23 SAN REMO DR, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Mailing address
23 SAN REMO DR, SOUTH BURLINGTON, VT 05403-6343
(802) 865-0010
(802) 865-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0102690
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN3242
—
VT
Enumeration date
07/30/2014
Last updated
07/30/2014
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