MR. JOSHUA BELLAVANCE, MS, ATC, LAT

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1619105020

Practice Address

185 TILLEY DR
South Burlington, VT 05403

Phone: (802) 879-1703

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 104-0000177 (VT)

Frequently Asked Questions

NPI 1619105020 is the National Provider Identifier for MR. JOSHUA BELLAVANCE, MS, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in South Burlington, VT. This NPI was enumerated on June 24, 2009.
MR. JOSHUA BELLAVANCE, MS, ATC, LAT practices at 185 TILLEY DR, South Burlington, VT 05403.

Quick Facts

NPI
1619105020
Type
Individual
Enumerated
Jun 24, 2009
Last Updated
Dec 14, 2011

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