Most Relevant Information
Provider Data
| NPI Number: | 1003401415 |
| Provider Name: | MICHALA DEAN PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 040.0134262 |
Most Important Dates
| Enumeration Date: | 03/08/2021 |
| Last Updated: | 03/08/2021 |
Provider Practice Location
166 ATHLETIC DR
SHELBURNE
VT
054824433
Practice Location Phone/Fax
| Phone: | 8029854440 |
| Fax: |
Provider Mailing Location
166 ATHLETIC DR
SHELBURNE
VT
054824433
Provider Mailing Phone/Fax
| Phone: | 8029854440 |
| Fax: |