Provider Demographics
NPI:1245212851
Name:WHITMAN, TERRIANN (PT)
Entity type:Individual
Prefix:MRS
First Name:TERRIANN
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 DEWEY STREET
Mailing Address - Street 2:BENNINGTON PHYSICAL THERAPY PC
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-2225
Mailing Address - Country:US
Mailing Address - Phone:802-447-2101
Mailing Address - Fax:802-447-1902
Practice Address - Street 1:328 DEWEY STREET
Practice Address - Street 2:BENNINGTON PHYSICAL THERAPY PC
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2225
Practice Address - Country:US
Practice Address - Phone:802-447-2101
Practice Address - Fax:802-447-1902
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0002737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT4124482OtherMOHAWK VALLEY PLAN
VT68007OtherBCBS OF VERMONT
VT68007OtherBCBS OF VERMONT