Healthcare Provider Details
I. General information
NPI: 1417281932
Provider Name (Legal Business Name): ZIPPY LIFE PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2009
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 ESSEX WAY
MONTPELIER VT
05602-4463
US
IV. Provider business mailing address
32 MAIN STREET, STE 206
MONTPELIER VT
05602-2946
US
V. Phone/Fax
- Phone: 802-522-3615
- Fax: 802-613-1009
- Phone: 802-522-3615
- Fax: 802-613-1009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2251N0400X |
| Taxonomy | Neurology Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LILIANE
B.
SAVARD
Title or Position: OWNER
Credential: PT, DPT, PCS
Phone: 802-522-3615