Individual
BRENNA CHRISTINE MILITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
35 BEL AIRE DR, NEWPORT, VT 05855-4953
(802) 334-2878
Mailing address
154 MEMPHREMAGOG VW, NEWPORT, VT 05855-4920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0093160
VT
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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