Individual
ASHLEY ELIZABETH BRUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 PIERPOINT AVE, RUTLAND, VT 05701-2731
(802) 786-1988
Mailing address
1121 SCOTCH HILL RD, FAIR HAVEN, VT 05743-9280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8206857A
VT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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