Vautour, Joann

Vautour, Joann is an individual health care provider with primary practice located at 3054 Enterprise Dr , State College PA 16801-2755. 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. Vautour, Joann can be contacted via phone (814) 234-6023.

Contact Information

Primary practice address
3054 Enterprise Dr State College PA 16801-2755
Phone: (814) 234-6023
Fax: (814) 234-1439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002499E Pennsylvania

Profile Details

NPI number 1780702787
LBN Legal business name Vautour, Joann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 27th, 2008 - about 16 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 1780702787 NPPES
Pennsylvania MEDICAID 0019439410001

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