Doctor Name: | MARY BENYO CHUDZIK |
NPI Number: | 1639180672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | |
Business Practice Address: | 1878 Mountain Road Suite 1 Stowe, VT - 05677 |
Business Phone Number: | 8022532273 |
Business Fax Number: | 8022537754 |
Mailing Address: | 1878 Mountain Road, Suite 1 STOWE |
State: | VT |
Postal Code: | 05677 |
Phone Number: | 8022532273 |
Fax Number: | 8022537754 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |