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Jennifer Legacy, PT
Specialist in Lyndonville, Vermont
NPI 1942257977

Jennifer Legacy is a Specialist based in Lyndonville, VT. Jennifer Legacy practices in Lyndonville, VT and has the professional credentials of PT. The NPI Number for Jennifer Legacy is 1942257977 and holds a License No. 040-003546 (Vermont).

The current practice location address for Jennifer Legacy is 31 Middle St, Lyndonville, VT and can be reached out via phone at 802-626-4224 and via fax at 802-626-5042.

Location: 31 Middle St, Lyndonville, VT, 05851-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942257977
Provider Name
Jennifer Legacy
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
31 Middle St, Lyndonville, VT, 05851-1346
Phone Number
802-626-4224
Fax Number
802-626-5042
Provider Enumeration Date
05/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65837 01 VT BC/BS
398447 01 VT MVP
0003546 01 VT MANAGED CARE
1011382 05 VT
institution
Provider Business Practice Location Address Details
Address
31 Middle St
City
Lyndonville
State
Vermont
Zip
05851
Phone Number
802-626-4224
Fax Number
802-626-5042
person
Provider Business Mailing Address Details
Address
31 Middle St
City
Lyndonville
State
Vermont
Zip
05851
Phone Number
802-626-4224
Fax Number
802-626-5042
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
040-003546 (Vermont)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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