Organization
DIANE K. GREENBERG, PT
Active
Other names
Bristol Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KAREN GREENBERG PT (OWNER THERAPIST)
(802) 453-7200
Entity
Organization
Contact information
Practice address
167 MONKTON RD, SUITE 101B, BRISTOL, VT 05443-5045
(802) 453-7200
Mailing address
167 MONKTON RD, SUITE 101B, BRISTOL, VT 05443-5045
(802) 453-7200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRIS00058197
BCBSVT
VT
Enumeration date
05/07/2007
Last updated
08/10/2016
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