Individual
LISA N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
42 MAPLE GROVE RD, BENNINGTON, VT 05201-8749
(802) 823-5747
Mailing address
42 MAPLE GROVE RD, BENNINGTON, VT 05201-8749
(802) 823-5747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003438
VT
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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