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NPI Code Detail

MEDICARE: ERIKA DIETLINDE SENFT MILLER MSPT. EDD

MEDICARE: ERIKA DIETLINDE SENFT MILLER MSPT. EDD
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 Therapist040-0002941VT

General Provider Information

NPI Number : 1629081187
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA DIETLINDE SENFT MILLER MSPT. EDD
Provider Business Mailing Address
First Line : 67 LINCOLN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3235
Country : US
Telephone Number : 802-878-9513
Fax Number : 802-878-9962
Provider Business Practice Location Address
First Line : 67 LINCOLN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3235
Country : US
Telephone Number : 802-878-9513
Fax Number : 802-878-9962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/08/2007

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