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NPI Code Detail

MEDICARE: CATHERINE A WEBSTER PT

MEDICARE:   CATHERINE A WEBSTER  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist040-002985VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100860916OTHERVTTRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3230438OTHERVTCIGNA-LOCAL
429166OTHERVTBC/BS
59746108OTHERVTCIGNA-NATIONAL
6363323OTHERVTMVP
74689601OTHERVTFAHC-VMC PREFFERED APEX

General Provider Information

NPI Number : 1942269550
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE A WEBSTER PT
Provider Business Mailing Address
First Line : 82 TOWNLINE RD
Second Line :
City : GRAND ISLE
State : VT
Zip : 05458-2562
Country : US
Telephone Number : 802-372-3217
Fax Number :
Provider Business Practice Location Address
First Line : 30 HAWTHORNE ST
Second Line :
City : WILLISTON
State : VT
Zip : 05495-8212
Country : US
Telephone Number : 803-876-6000
Fax Number : 802-876-6003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/08/2007

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Directions to “ CATHERINE A WEBSTER PT” Practice Location

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