Candice S Brueck, PT | |
321 Main Street, Suite D, Winooski, VT 05404 | |
(802) 864-3785 | |
(802) 864-0274 |
Full Name | Candice S Brueck |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 321 Main Street, Winooski, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114098449 | NPI | - | NPPES |
5270302 | Other | VMC EMI | |
06558898 | Other | BLUE CROSS | |
360645 | Other | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0400003490 (Vermont) | Primary |
Provider Name | Physical Therapy For Women, Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1144406539 PECOS PAC ID: 6709045453 Enrollment ID: O20120315000500 |
Mailing Address | Practice Location Address |
---|---|
Candice S Brueck, PT 321 Main Street, Suite D, Winooski, VT 05404 Ph: (802) 864-3785 | Candice S Brueck, PT 321 Main Street, Suite D, Winooski, VT 05404 Ph: (802) 864-3785 |
Jane Wolforth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Malletts Bay Ave, Winooski, VT 05404 Phone: 802-847-9626 | |
Timberlane Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Main Street, Suite D, Winooski, VT 05404 Phone: 802-864-3785 Fax: 802-864-0274 | |
Tyler Sheil, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Main St Ste D, Winooski, VT 05404 Phone: 802-864-3785 | |
Ms. Erica Jean Wible, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Main St, Suite D, Winooski, VT 05401 Phone: 802-864-3785 Fax: 802-864-0274 | |
Erin Graham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Main St, Suite D, Winooski, VT 05404 Phone: 802-864-3785 | |
Jennifer Ann Simpson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Main St, Ste D, Winooski, VT 05404 Phone: 802-864-3785 |