Organization
TIMBERLANE FOOT FAIRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMA OSPINA (BILLER)
(802) 578-5869
Entity
Organization
Contact information
Practice address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
(802) 864-0274
Mailing address
321 MAIN ST STE D, WINOOSKI, VT 05404-1380
(802) 864-3785
(802) 864-0274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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