Organization Name: | TIFFANY RENAUD, INC. |
NPI Number: | 1912270075 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIFFANY RENAUD (PRESIDENT/CEO) |
Mailing Address: | 3000 Williston Rd Suite 2 South Burlington |
State: | VT US |
Postal Code: | 054036082 |
Phone Number: | 8026586092 |
Fax Number: | 8028639565 |
NPI Enumeration Date: | 02/20/2012 |
NPI Last Update Date: | 05/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040.0002889 |
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 |