Individual
MR. STEPHEN M RAMBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
21 ESSEX WAY, SUITE 116, ESSEX JUNCTION, VT 05452-3385
(802) 879-8200
(802) 879-9300
Mailing address
21 ESSEX WAY, SUITE 116, ESSEX JUNCTION, VT 05452-3385
(802) 879-8200
(802) 879-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003352
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00068727
BLUE CROSS BLUE SHIELD
VT
05
—
1011584
—
VT
01
—
11461589
CAQH
VT
01
—
3352
FAHC
VT
01
—
398053
MVP
VT
01
—
68727
TVHP
VT
Enumeration date
06/20/2006
Last updated
12/20/2010
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