Individual
MICHELLE VILLENEUVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30 HAWTHORNE ST, WILLISTON, VT 05495-8212
(802) 876-6000
(802) 876-6003
Mailing address
26 FIREFLY LN, HINESBURG, VT 05461-3149
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
040-0003663
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069002
BCBS
VT
05
—
1012232
—
VT
01
—
385697
MVP
VT
Enumeration date
12/04/2006
Last updated
07/08/2007
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