Timberlane Foot Fairy LLC

NPI #1609736180 in Winooski, Vermont

Provider Information

NPI Number: 1609736180
Entity Type: Organization
Organization Name: Timberlane Foot Fairy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 17, 2025
Last Updated: Nov 17, 2025

Practice Location

Address: 321 MAIN ST STE D
City: Winooski
State: Vermont
ZIP Code: 05404-1380
Phone: (802) 864-3785

Authorized Official

Name: FATIMA OSPINA
Title: BILLER
Phone: (802) 578-5869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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