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Jacqueline Mood Bolster, RPT

Physical Therapist in Burlington, VT. Individual provider (NPI-1).

NPI number1023262425
StatusActive
Last updated in NPPESNov 11, 2008

Details

NPI
1023262425
Entity type
Individual (NPI-1)
Name
Mrs. Jacqueline Mood Bolster
Credential
RPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 11, 2008
Last updated
Nov 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist040-0002009VTYes

Practice location

11 Kilburn St
Burlington, VT 05401-8705

Phone 802-878-8352

Mailing address

2 Damon Dr
Essex Junction, VT 05452-2924

Phone 802-878-8352

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