Individual
BRIAN LOEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 MAIN ST STE 102A, BURLINGTON, VT 05401-5259
(802) 865-2226
(802) 865-9981
Mailing address
1 MAIN ST STE 102A, BURLINGTON, VT 05401-5259
(802) 865-2226
(802) 865-9981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003419
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2677334-001
CIGNA
VT
01
—
5468101
VMC
VT
01
—
58241
BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/28/2007
Last updated
07/08/2007
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