Individual
SHARON BARLOW GUTWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30 HAWTHORNE ST, SUITE 20, WILLISTON, VT 05495-8212
(802) 876-6000
Mailing address
338 SOUTHFIELD DR, WILLISTON, VT 05495-5213
(802) 878-7087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0001080
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006925
—
VT
01
—
230436
CIGNA
VT
01
—
363322
MVP
VT
01
—
4470418
CIGNA NATIONAL
VT
01
—
4682901
FAHC/VMC
VT
01
—
8046
BC/BS
VT
01
—
P00056908
MEDICARE RAILROAD
VT
Enumeration date
03/17/2006
Last updated
07/08/2007
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