Doctor Name: | MS. BROOKE ALISON POREMSKI |
NPI Number: | 1588637508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0400003044 |
Business Practice Address: | 2 Champlain Cmns Suite 4 St Albans, VT - 054781563 |
Business Phone Number: | 8025241155 |
Business Fax Number: | 8025242664 |
Mailing Address: | 2 Champlain Cmns, Suite 4 ST ALBANS |
State: | VT |
Postal Code: | 054781563 |
Phone Number: | 8025241155 |
Fax Number: | 8025242664 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 07/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 0400003044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |