NPI 1114085339

Tom Gollicker, PTAIDE

Practitioner Physical Therapy Assistant Williston, VT

Practice location

Address: 151 Blair Park Rd, Williston, VT 05495-7435
Phone: (802) 879-0909
Mailing address: 151 Blair Park Rd PO Box 1064, Williston, VT 05495-7435

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 041-0000469 (VT)

Other Physical Therapy Assistant providers in Vermont →

Registry record

NPI: 1114085339
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 14 Nov 2007

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.