Individual
BRIANNA GRACE MATHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 NICHOLS ST, RUTLAND, VT 05701-3275
(802) 775-2941
Mailing address
2755 WEMBLEY CIR, BROOKFIELD, WI 53005-1917
(414) 704-7079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134453
VT
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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