Individual
SIERRA ROSE KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
1311 BARRE-MONTPELIER ROAD, BERLIN, VT 05602
(802) 371-4242
Mailing address
PO BOX 212, HARDWICK, VT 05843-0212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1374927
MERCER PROLIABILITY INSURANCE
VT
Enumeration date
04/24/2019
Last updated
06/11/2019
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