NPI 1053633081
Stacey a Whitford, PTA
Practice location
- Address
- 111 Colchester Ave, Burlington, VT 05401-1473
- Phone
- (802) 847-2450
- Mailing address
- 8 Eichen CT, Ticonderoga, NY 12883-3201
Registered specialties (2)
Physical Therapy Assistant
Primary
Physical Therapy Assistant
Registry record
- NPI
- 1053633081
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Feb 2010
- Record last updated
- 1 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.