Boutin, Maryellen Willette

Boutin, Maryellen Willette is an individual health care provider with primary practice located at 1 Blanchard Court , Montpelier VT 05602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boutin, Maryellen Willette can be contacted via phone (802) 229-6398.

Contact Information

Primary practice address
1 Blanchard Court Montpelier VT 05602
Phone: (802) 229-6398
Fax: (802) 229-5137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0400003183 Vermont

Profile Details

NPI number 1427090521
LBN Legal business name Boutin, Maryellen Willette
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427090521 NPPES
Vermont MEDICAID OVN 2233

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