Mr. STEPHEN JOHN BLACKETT -- PTA
Individual Provider (NPI-1)
Active
Skilled Nursing Facility, Nursing Care, Pediatric
Provider Information
- NPI Number
1720283328- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 46 NICHOLS ST, RUTLAND, VT, 057013275
- Phone
- (802) 775-2941
Specialties & Taxonomies
Skilled Nursing Facility, Nursing Care, Pediatric
Primary License: VT #041-0000401