Individual
MR. ERIC MICHAEL PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
30 HAWTHORNE ST STE 20, WILLISTON, VT 05495-8212
(802) 876-6000
Mailing address
30 HAWTHORNE ST STE 20, WILLISTON, VT 05495-8212
(802) 876-6000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040080808
VT
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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