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Individual

SANDRA A LADD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
56 LINDEN ST, BRATTLEBORO, VT 05301-2964
(802) 254-4699
(802) 257-1985
Mailing address
56 LINDEN ST, BRATTLEBORO, VT 05301-2964
(802) 254-4699
(802) 257-1985

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0000949
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00005022
PRIVATE INSURANCE (BCBS)
VT
01
0801982Y0VT01
PRIVATE INSURANCE (BCBS)
NH
05
1006687
VT
05
30391424
NH
01
956980
PRIVATE INSURANCE (MVP)
Enumeration date
10/27/2005
Last updated
07/08/2007
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