Healthcare Provider Details

I. General information

NPI: 1548774235
Provider Name (Legal Business Name): EMILY R DAY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2017
Last Update Date: 11/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 FLYNN AVENUE
BURLINGTON VT
05401
US

IV. Provider business mailing address

160 FLYNN AVE
BURLINGTON VT
05401-5400
US

V. Phone/Fax

Practice location:
  • Phone: 802-864-6262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number040.0130965
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: