Individual
COLLEEN DUFFY BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30 HAWTHORNE ST, MAPLE TREE PLACE, WILLISTON, VT 05495-8212
(802) 876-6000
Mailing address
PO BOX 1451, WAITSFIELD, VT 05673-1451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003652
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003652
FAHC/VMC PREFERRED APEX
VT
05
—
1012096
—
VT
01
—
385695
MVP
VT
01
—
68947
BC/BS
VT
Enumeration date
03/15/2006
Last updated
07/08/2007
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