Individual
MRS. NICOLE LYNN TATRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
319 S MAIN ST, SUITE 1, SAINT ALBANS, VT 05478-6214
(802) 393-9115
Mailing address
319 S MAIN ST, SUITE 1, SAINT ALBANS, VT 05478-6214
(802) 393-9115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003460
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018333
—
VT
Enumeration date
04/10/2007
Last updated
01/02/2011
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