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PAMELA BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
151 BLAIR PARK RD, WILLISTON, VT 05495-7435
(802) 879-0909
(802) 879-3095
Mailing address
151 BLAIR PARK RD, PO BOX 1064, WILLISTON, VT 05495-7435
(802) 879-0909
(802) 879-3095

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0400002826
VT
2251P0200X
Pediatric Physical Therapist
Primary
0400002826
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00028483
BC/BS
VT
01
030281196005
TRICARE
VT
05
1007599
VT
01
272921
CIGNA
VT
01
43V027
MVP
VT
Enumeration date
10/19/2006
Last updated
11/14/2007
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