Doctor Name: | MRS. ESTELLE L LECLAIR |
NPI Number: | 1922012285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0400002668 |
Business Practice Address: | 1 Market Pl Suite #33 Essex Jct, VT - 054522942 |
Business Phone Number: | 8088789572 |
Business Fax Number: | 8028789592 |
Mailing Address: | 120 Towers Rd, ESSEX JCT |
State: | VT |
Postal Code: | 054522620 |
Phone Number: | 8028789255 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 09/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0400002668 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |