Individual
KELSEY DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CARMICHAEL ST STE 101, ESSEX JUNCTION, VT 05452-3186
(802) 878-9572
Mailing address
1 MARKET PL UNIT 33, ESSEX JUNCTION, VT 05452-2942
(802) 878-9572
(802) 878-9592
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134081
VT
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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