Individual
MS. JENNY M BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
111 COLCHESTER AVE, SHEPARDSON 2, BURLINGTON, VT 05401-1473
(802) 847-2450
Mailing address
64 SCARFF AVE, BURLINGTON, VT 05401-5034
(802) 860-6184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003487
VT
Other
Enumeration date
09/17/2006
Last updated
07/08/2007
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