Individual
ERIN R VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2869 ESAW ST, MINDEN, NV 89423-9059
(775) 235-8809
(775) 420-4675
Mailing address
2869 ESAW STREET, MINDEN, MINDEN, NV 89423
(775) 235-8809
(775) 420-4675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1982
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477500320
—
NV
Enumeration date
05/27/2006
Last updated
05/23/2024
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