Organization
VASTA PT WATERBURY LLC
Active
Other names
VASTA Performance Training and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ALBERTSON DPT (OWNER)
(802) 399-2244
Entity
Organization
Contact information
Practice address
80 S MAIN ST STE 6, WATERBURY, VT 05676-1540
(802) 399-2244
Mailing address
98 ELFIN LN, CHARLOTTE, VT 05445-9733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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