Individual
BETHANY JUSCEN PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1881 WILLISTON RD, SOUTH BURLINGTON, VT 05403-6006
(802) 999-6578
Mailing address
PO BOX 642, WILLISTON, VT 05495-0642
(802) 999-6578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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