Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | 040.0094757 | VT |
Y | 2251X0800X | Physical Therapist - Orthopedic | 040.0094757 | VT |
NPI | 1083048649 |
---|---|
Provider Name | Caroline Crofton Stifler |
First Address | Middlebury, VT 05753-1209 |
Second Address | Middlebury, VT 05753-1209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2013 |
Last Update Date | 30/08/2013 |