Jurdan Ashton Mossburg, PT | |
426 Industrial Ave Ste 190, Williston, VT 05495-7904 | |
(802) 860-4360 | |
Not Available |
Full Name | Jurdan Ashton Mossburg |
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Gender | Male |
Speciality | Physical Therapist |
Location | 426 Industrial Ave Ste 190, Williston, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124886999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 040.0134697 (Vermont) | Primary |
Provider Name | Pt 360 Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609183177 PECOS PAC ID: 0749469906 Enrollment ID: O20110120000820 |
Mailing Address | Practice Location Address |
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Jurdan Ashton Mossburg, PT 376 Quarry Hill Rd Apt 313, South Burlington, VT 05403-5797 Ph: () - | Jurdan Ashton Mossburg, PT 426 Industrial Ave Ste 190, Williston, VT 05495-7904 Ph: (802) 860-4360 |
Wellfound Physical Therapy And Fitness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1193 S Brownell Rd Ste 20, Williston, VT 05495 Phone: 802-343-6279 | |
Maria C Nolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Cornerstone Dr, Williston, VT 05495 Phone: 802-878-8330 Fax: 802-878-8344 | |
Paula Larose, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Hawthorne St, Williston, VT 05495 Phone: 802-876-6000 | |
Zafir George Bludevich, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 | |
Benjamin M Corcoran, M.S.,P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Wellness Dr, Williston, VT 05495 Phone: 802-860-1358 Fax: 802-860-1093 | |
Lillian Devereux, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Hurricane Ln Ste 102, Williston, VT 05495 Phone: 802-655-7575 | |
Maryclaire Mcgovern, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 62 Merchants Row Ste 202, Williston, VT 05495 Phone: 802-857-5407 |