Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 040-0003383 | VT |
NPI | 1124167408 |
---|---|
Provider Name | Katrina Werbinski |
First Address | Rutland, VT 05701-4240 |
Second Address | Rutland, VT 05701-4710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 08/07/2007 |