Organization
KIDS REHAB GYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GUTWIN (OWNER)
(802) 861-3600
Entity
Organization
Contact information
Practice address
905 ROOSEVELT HWY # 115, COLCHESTER, VT 05446-4475
(802) 860-3600
Mailing address
905 ROOSEVELT HIGHWAY #115, COLCHESTER, VT 05446
(802) 860-3600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0103370
VT
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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