Individual
MS. EDIE BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
426 INDUSTRIAL AVE STE 190, WILLISTON, VT 05495-7904
(802) 860-4360
(802) 488-3160
Mailing address
5 THRUSH LN, ESSEX JUNCTION, VT 05452-2239
(802) 860-4360
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0000825
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006858
—
VT
01
—
1469336
CIGNA
VT
01
—
2374
BCBS
VT
01
—
353382
MVP
VT
01
—
5863801
VMC
VT
Enumeration date
03/08/2006
Last updated
09/20/2012
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