Individual
LONNIE LEA POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-6894
Mailing address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0002805
VT
Other
Enumeration date
09/25/2006
Last updated
08/08/2007
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