Individual
MRS. KRISTINE L VROOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 MOURNING DOVE ROAD, OAK BLUFFS, MA 02557
(508) 696-7923
Mailing address
RR1 BOX 475KK, EDGARTOWN, MA 02539
(508) 696-7923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18079
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432093
HIGHMARK BLUESHIELD
PA
Enumeration date
07/18/2005
Last updated
02/15/2012
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