Individual
BRUCE DANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
596 SHELDON RD, SAINT ALBANS, VT 05478-8011
(802) 524-6534
Mailing address
355 BAGDAD RD, POTSDAM, NY 13676-3175
(315) 261-4008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
041.0099516
VT
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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