Organization
LONG TRAIL ON THE FALLS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DIPALERMO P.T. (PRESIDENT)
(802) 877-6991
Entity
Organization
Contact information
Practice address
300 MAIN ST, VERGENNES, VT 05491-1035
(802) 877-6991
(802) 877-6993
Mailing address
300 MAIN ST, VERGENNES, VT 05491-1035
(802) 877-6991
(802) 877-6993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003304
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007049
—
VT
Enumeration date
03/09/2011
Last updated
03/09/2011
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