Organization
LONG TRAIL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE MILANO (PRESIDENT)
(802) 865-2222
Entity
Organization
Contact information
Practice address
61 HUNTINGTON RD, RICHMOND, VT 05477-9708
(802) 434-8495
Mailing address
789 PINE ST, BURLINGTON, VT 05401-4933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1040088590
VT
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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