MR. Geoffrey Rd Illingworth, PT, ATC

NPI #1023146701 in Westminster, Vermont

Provider Information

NPI Number: 1023146701
Entity Type: Individual
Name: MR. Geoffrey Rd Illingworth, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, ATC
Enumeration Date: Mar 2, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 36 ADAMS ST
City: Westminster
State: Vermont
ZIP Code: 05158-9706
Phone: (802) 463-4725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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Organizations

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