KATHY C PROVENCHER

WATERBURY, VT
NPI1316098619
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: VT  0400002724)
Enumeration Date2007-01-15
Last Update Date2015-09-28
Business Address
Ms. KATHY C PROVENCHER
137S MAIN ST
WATERBURY, VT 05676-1579
Phone number: 802-244-1140
Mailing Address
Ms. KATHY C PROVENCHER
15 COOPER'S LANDING
WATERBURY, VT 05677-8335
Phone number: 802-244-6859
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