Individual
DANIELLE JUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
184 ROUTE 7 S, MILTON, VT 05468-3602
(802) 893-7427
(802) 893-7429
Mailing address
PO BOX 776, MILTON, VT 05468-0776
(802) 893-7427
(802) 893-7429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400101424
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023243
—
VT
Enumeration date
05/19/2014
Last updated
04/28/2017
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