PEDIATRIC PHYSICAL THERAPY SERVICES PC
Restorative Service Providers at High St, West Cornwall, VT

License number
Vermont 040-0002043
Category
Restorative Service Providers
Type
Pediatrics
Owner
Name: KIM PERKINS KELLEY PT, MED.
Title: PRESIDENT
Phone: (802) 388-1153
Address
Address
40 High St, West Cornwall, VT 05753
National Provider ID: 1750580858
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC PHYSICAL THERAPY SERVICES, PC

40 High St, Middlebury, VT

Registration:
Mar 19, 2001
State ID:
0121466
Business type:
Domestic Profit Corporation
Agent:
Anthony R. Duprey,40 High St, Middlebury, VT (Mailing)
1 Cross St, Middlebury, VT (Physical)

Restorative Service Providers licenses in Vermont



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