Individual
LISA J AMODEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
49 CEDAR HILL LN, WINDSOR, VT 05089
(802) 674-6609
Mailing address
83 BUTTON HILL RD, S ROYALTON, VT 05068-5224
(802) 889-3245
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003008
VT
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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