Theresa Marie Paquin, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Colchester, VT

NPI 1124154919 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124154919
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0000865 (VT)
Practice address
1110 Prim Rd
Colchester, VT 05446-6403
Phone
(802) 890-4485
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000865VTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0000865 VT Yes

Addresses

Primary practice location

1110 Prim Rd
Colchester, VT 05446-6403

Mailing address

96 Steeplebush Rd
Shelburne, VT 05482-6652
Phone (802) 860-4485

Other providers in Colchester, VT

All providers in Colchester, VT · Physical Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.