Provider Demographics
NPI:1710179809
Name:SAVARD, LILIANE BEAUDOIN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LILIANE
Middle Name:BEAUDOIN
Last Name:SAVARD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MAIN STREET, SUITE 206
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-2946
Mailing Address - Country:US
Mailing Address - Phone:802-522-3615
Mailing Address - Fax:802-613-1009
Practice Address - Street 1:111 ESSEX WAY
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4463
Practice Address - Country:US
Practice Address - Phone:802-522-3615
Practice Address - Fax:802-613-1009
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1016921Medicaid