MEDICARE: SARA LAMIE 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
1	225100000X	Physical Therapist	040.0100898	VT

General Provider Information

NPI Number	:	1205191384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA LAMIE PT

Provider Business Mailing Address
First Line	:	277 BUTTERNUT RD
Second Line	:
City	:	WHITE RIVER JUNCTION
State	:	VT
Zip	:	05001-7166
Country	:	US
Telephone Number	:	603-748-3071
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 VT-113
Second Line	:
City	:	EAST THETFORD
State	:	VT
Zip	:	05043
Country	:	US
Telephone Number	:	802-565-0424
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2012
Last Update Date	:	11/08/2023

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Directions to “ SARA LAMIE PT” Practice Location

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