Individual
MS. LEONIE BURNS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
67 LINCOLN ST, CHAMPLAIN PHYSICAL THERAPY, ESSEX JUNCTION, VT 05452-3235
(802) 878-9513
(802) 878-9962
Mailing address
67 LINCOLN ST, CHAMPLAIN PHYSICAL THERAPY, ESSEX JUNCTION, VT 05452-3235
(802) 878-9513
(802) 878-9962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0000844
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06529618
BLUE CROSS BLUE SHIELD
VT
05
—
1008030
—
VT
Enumeration date
03/08/2007
Last updated
07/09/2007
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