Kathryn C Bruch
Physical Therapist - Sports
1191 S Brownell Rd
Williston
, Vermont 05495-7415
Kathryn C Bruch
Physical Therapist - Sports
1191 S Brownell Rd
Williston
, Vermont 05495-7415
(215) 913-4436
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Kathryn C Bruch
- 15 Manseau St Unit 206
- Winooski, VT
- Zip : 05404-1575
- Phone : (215) 913-4436
Second Address
- Kathryn C Bruch
- 1191 S Brownell Rd
- Williston, VT
- Zip : 05495-7415
- Phone : (315) 491-3303
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 40.0134173 | VT |
National Provider Identifier
| NPI | 1548866742 |
|---|---|
| Provider Name | Kathryn C Bruch |
| First Address | Winooski, VT 05404-1575 |
| Second Address | Williston, VT 05495-7415 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2020 |
| Last Update Date | 11/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.