Search › Pennsylvania › 225200000X
Vicki Brungard, PTA
NPI 1114579075 · on the registry since 2019
Practice
- Address
- 1705 Warren Ave Ste 102
Williamsport, PA 17701 - Phone
- (570) 320-7470
- Fax
- (570) 320-7471
- Organisation at this address
- Wilkes Barre Vamc
Beaver Eyewear, Inc.
Kenneth R Durrwachter Md Pc
Susquehanna Physician Services
Susquehanna Physician ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Additional practice sites
- 1705 Warren Ave Ste 102, Williamsport, PA
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania