Provider Demographics
NPI:1932303575
Name:PROSSER-RIESSEN, FRANCES GROVES (PHYSICAL THERAPIST P)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:GROVES
Last Name:PROSSER-RIESSEN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST P
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4 CONANT RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755
Mailing Address - Country:US
Mailing Address - Phone:603-643-8360
Mailing Address - Fax:603-643-8498
Practice Address - Street 1:16 BEAVER MEADOW RD
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055
Practice Address - Country:US
Practice Address - Phone:802-649-8839
Practice Address - Fax:603-643-8498
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400002495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist