Individual
SUSAN MORGAN MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
279 BUSINESS ROUTE 4 STE 1, CENTER RUTLAND, VT 05736-9701
(802) 775-4372
(802) 775-4918
Mailing address
40 GIORGETTI BLVD, RUTLAND, VT 05701-3712
(802) 775-9959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0002592
VT
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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