Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | ||
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1710179809 |
---|---|
Provider Name | Dr. Liliane Beaudoin Savard |
First Address | Montpelier, VT 05602-2946 |
Second Address | Montpelier, VT 05602-4463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 03/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1016921 | (05) | VT |