Individual
ELISE MINADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
74 VT ROUTE 15, JERICHO, VT 05465-3011
(802) 899-5200
Mailing address
74 VT ROUTE 15, JERICHO, VT 05465-3011
(802) 899-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0002795
VT
Other
Enumeration date
12/04/2012
Last updated
12/20/2012
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