Individual
MS. DIANE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
158 HURRICANE LN, WILLISTON, VT 05495-2072
(802) 847-0193
Mailing address
156 BACON DR, SHELBURNE, VT 05482-7496
(802) 847-2547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002027
VT
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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