Organization
ON TRACK, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LOEFFLER PT (MANAGING PARTNER)
(802) 865-2226
Entity
Organization
Contact information
Practice address
1 MAIN ST STE 102A, BURLINGTON, VT 05401-5259
(802) 865-2226
(802) 865-9921
Mailing address
1 MAIN ST STE 102A, BURLINGTON, VT 05401-5259
(802) 865-2226
(802) 865-9921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003419
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010612
—
VT
01
—
43681
MVP
VT
01
—
520270
CIGNA
VT
01
—
58240
BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/28/2007
Last updated
08/22/2020
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