Individual
ELIZABETH HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1248 HOSPITAL DR, ST JOHNSBURY, VT 05819-9239
(802) 748-8757
Mailing address
131 BOYNTON AVE, ST JOHNSBURY, VT 05819-1124
(802) 917-1864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0000288
VT
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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