Individual
KATHERINE DECAROLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 KENNEDY DR UNIT 3, SOUTH BURLINGTON, VT 05403-7152
(802) 863-3323
(802) 863-3288
Mailing address
1 KENNEDY DR UNIT 3, SOUTH BURLINGTON, VT 05403-7152
(802) 863-3323
(802) 863-3288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002323
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007287
BC/BS
VT
05
—
1008410
—
VT
01
—
2729233
CIGNA
VT
01
—
43V082
MVP
VT
Enumeration date
11/03/2006
Last updated
05/29/2019
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