Candice S Brueck in Winooski - Physical Therapist
Candice S Brueck - NPI 1114098449
Candice S Brueck is a Physical Therapist in Winooski, Vermont. Candice S Brueck practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Candice S Brueck is 1114098449. The last update date is 2007-07-08.
Candice S Brueck's current location address is 321 Main Street, Winooski, Vermont. You can contact this provider via phone number 8028643785 and fax number 8028640274. The mailing address for Candice S Brueck is 321 Main Street, Winooski, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice S Brueck |
|---|---|
| Address | 321 Main Street, Winooski, Vermont |
| Phone Number | 8028643785 |
| Fax Number | 8028640274 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1114098449 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 321 Main Street |
|---|---|
| City | Winooski |
| State | Vermont (VT) |
| Post Code | 5404 |
| Phone Number | 8028643785 |
| Fax Number | 8028640274 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 400003490 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5270302 | VMC EMI | ||
| 6558898 | BLUE CROSS | ||
| 360645 | MVP |
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What is the unique provider identifier assigned to Candice S Brueck?
The Candice S Brueck has been issued the NPI (National Provider Identifier) 1114098449 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Candice S Brueck located?
The Candice S Brueck is located at 321 Main Street, Winooski, VT 5404.
What is the area of specialization for Candice S Brueck, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Candice S Brueck is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
When did the Candice S Brueck receive its 1114098449?
The Candice S Brueck was issued its 1114098449 on 2006-11-10, which is the date when the organization was assigned this unique identifier.
When was the information regarding Candice S Brueck most recently updated?
The details pertaining to the Candice S Brueck, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL