| Organization Name: | NORTHERN PHYSICAL THERAPY PC |
| NPI Number: | 1164509980 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMANDA PALMER (VP OF ADMIN) |
| Mailing Address: | 569 Main St Lyndonville |
| State: | VT US |
| Postal Code: | 05851 |
| Phone Number: | 8026264224 |
| Fax Number: | 8026265042 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |