Individual
TIMOTHY C GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
166 ATHLETIC DR, SHELBURNE, VT 05482-4433
(802) 985-4440
(802) 985-4445
Mailing address
150 THACHER RD, RICHMOND, VT 05477-9703
(607) 341-8677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0097216
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987644
AETNA
—
01
—
64674501
BCMD
—
01
—
S8880012
BCDC
—
Enumeration date
12/02/2005
Last updated
07/17/2018
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