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General NPI Number Information
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NPI Number | 1073098588
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Entity Type | Organization
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Legal Business Name | WAYFINDER WELLNESS AND PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 56 W TWIN OAKS TER STE 4
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7138
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Country | US
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Telephone | 603-475-3044
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Fax |
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Provider Business Mailing Address
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Address Line | 128 LAKESIDE AVE STE 103
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City | BURLINGTON
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State | VT
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Zip | 05401-4936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMELIA BROGNA
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Credential | DPT
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Telephone | 603-475-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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