Ms Kathy C Provencher, | |
137s Main St, Waterbury, VT 05676-1579 | |
(802) 244-1140 | |
(802) 244-6851 |
Full Name | Ms Kathy C Provencher |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 137s Main St, Waterbury, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316098619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0400002724 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Provencher Physical Therapy, Inc. | 8729273925 | 4 |
Provider Name | Provencher Physical Therapy, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225358310 PECOS PAC ID: 8729273925 Enrollment ID: O20150501000097 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathy C Provencher, 15 Cooper's Landing, Waterbury, VT 05677-8335 Ph: (802) 244-6859 | Ms Kathy C Provencher, 137s Main St, Waterbury, VT 05676-1579 Ph: (802) 244-1140 |
Lini B. Wing-alberghini, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140 | |
Kathryn Theisen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-488-1140 | |
Natasha Anand, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St Ste 7, Waterbury, VT 05676 Phone: 802-882-8538 | |
Lucy B. D'aponte, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140 Fax: 802-244-6851 | |
Vasta Pt Waterbury Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 S Main St Ste 6, Waterbury, VT 05676 Phone: 802-399-2244 | |
Carolyn Bauman Dessureau, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 S Main St, Waterbury, VT 05676 Phone: 802-244-1140 |