Individual
NINA DINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 860-4360
Mailing address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 860-4360
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
040.0086396
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021043
—
VT
Enumeration date
09/12/2012
Last updated
06/10/2020
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