Provencher Physical Therapy, Inc. is a health care provider in Waterbury, VT. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||137 S Main St, Waterbury, VT 05676-1579, US|
|Practice Location Phone||802-244-1140|
|Practice Location Fax|
|Legal Business Name||PROVENCHER PHYSICAL THERAPY, INC.|
|Other Organization Name||FAMILY PHYSCIAL THERAPY|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jun 11, 2010|
|Last Update Date ?||Jun 11, 2010|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Physical Therapy||040-0002724||Vermont|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Provencher Physical Therapy, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mrs. Kathleen C. Provencher|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||802-324-5138|