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Contact Information

LAUREN M WEDAM, DPT
1233 SHELBURNE RD STE 470
SOUTH BURLINGTON, VT05403-7780
 Phone: 802-318-0581
 Fax: 508-448-5951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAUREN M WEDAM · (Female)

NPI # 1811208135
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 07/01/2010
Last updated 07/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 20155
  • VT License # 040.0066530
  • VT Other 040.0066530 LICENSURE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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