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Mr. Stephen John Blackett, PTA
Pediatric Skilled Nursing Facility in Rutland, Vermont
NPI 1720283328

Stephen John Blackett is a Pediatric Skilled Nursing Facility based in Brandon, VT and is specialized in Nursing Care, Pediatric. Stephen John Blackett practices in Rutland, VT and has the professional credentials of PTA. The NPI Number for Stephen John Blackett is 1720283328 and holds a License No. 041-0000401 (Vermont).

The current practice location address for Stephen John Blackett is 46 Nichols St, Rutland, VT and can be reached out via phone at 802-775-2941.

Location: 46 Nichols St, Rutland, VT, 05733-9098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720283328
Provider Name
Stephen John Blackett
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
46 Nichols St, Rutland, VT, 05733-9098
Phone Number
802-775-2941
Fax Number
Provider Enumeration Date
06/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
46 Nichols St
City
Rutland
State
Vermont
Zip
05701-3275
Phone Number
802-775-2941
Fax Number
person
Provider Business Mailing Address Details
Address
46 Nichols St
City
Rutland
State
Vermont
Zip
05701-3275
Phone Number
802-775-2941
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
041-0000401 (Vermont)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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