Estelle L Leclair, PT
Specialist in Essex Jct, VT. Individual provider (NPI-1).
NPI number1922012285
StatusActive
Last updated in NPPESMay 30, 2023
Details
- NPI
- 1922012285
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Estelle L Leclair
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2006
- Certification date
- May 30, 2023
- Last updated
- May 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 0400002668 | VT | Yes |
Practice location
1 Market PlSuite #33
Essex Jct, VT 05452-2942
Phone 808-878-9572 · Fax 802-878-9592
Mailing address
120 Towers RdEssex Jct, VT 05452-2620
Phone 802-878-9255
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