Individual
MS. BROOKE ALISON POREMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 CHAMPLAIN CMNS, SUITE 4, ST ALBANS, VT 05478-1563
(802) 524-1155
(802) 524-2664
Mailing address
2 CHAMPLAIN CMNS, SUITE 4, ST ALBANS, VT 05478-1563
(802) 524-1155
(802) 524-2664
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0400003044
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006928
—
VT
Enumeration date
02/09/2006
Last updated
07/18/2008
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