Individual
CRYSTAL BRUNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
340 MONTAGUE CITY RD, TURNERS FALLS, MA 01376-1830
(413) 774-3111
Mailing address
1207 COOLIDGE HWY, GUILFORD, VT 05301-8019
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8379
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72931092
VERMONT STATE DRIVERS LICENSE
VT
Enumeration date
03/27/2019
Last updated
03/27/2019
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