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Individual

MS. KRISTYN V WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
75 RACEWAY RD, JERICHO, VT 05465-2075
(802) 578-7615
Mailing address
75 RACEWAY RD, JERICHO, VT 05465-2075
(802) 578-7615

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8231
MA

Other

Enumeration date
01/14/2011
Last updated
01/14/2011
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