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General NPI Number Information
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NPI Number | 1700725132
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Entity Type | Organization
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Legal Business Name | FRONT FOUR PHYSICAL THERAPY PLC
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Dates
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Enumeration Date | 03/28/2026
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Last Update Date | 03/28/2026
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Provider Practice Location Address
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Address Line | 394 MOUNTAIN RD STE 6
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City | STOWE
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State | VT
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Zip | 05672-4678
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Country | US
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Telephone | 203-644-5081
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Fax |
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Provider Business Mailing Address
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Address Line | 157 COLLAMER CIR
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City | SHELBURNE
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State | VT
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Zip | 05482-6453
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Country | US
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Telephone | 203-644-5081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MACKENZIE YOUNG
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Credential | DPT
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Telephone | 203-644-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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