Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 040.0131361 | VT |
N | 2081S0010X | Sports Medicine | 131361 | VT |
N | 213ES0000X | Sports Medicine | 131361 | VT |
Y | 2251X0800X | Physical Therapist - Orthopedic | 040.0131361 | VT |
NPI | 1326560285 |
---|---|
Provider Name | Rilke Jean Greenmun |
First Address | Hyde Park, VT 05655-9206 |
Second Address | Stowe, VT 05672-4434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2017 |
Last Update Date | 23/01/2020 |