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Provencher Physical Therapy, Inc. — NPI 1225358310, Waterbury, VT | NPI Central

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NPI 1225358310

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Provencher Physical Therapy, Inc.

NPI 1225358310 · Physical Therapy Clinic/Center · Waterbury, VT

Provider details

NPI number: 1225358310
Entity type: Organization
Primary specialty: Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Kathleen Provencher, Owner(802) 324-5138
License: 040-0002724 (VT)

Specialties & taxonomies

Physical Therapy Clinic/CenterPrimary261QP2000XLicense 040-0002724 (VT)
Ambulatory Health Care Facilities

Practice location

137 S Main St

Waterbury, VT 05676-1579

Phone: (802) 244-1140

Approximate (ZIP-level) locationGet directions

More VT providers

Mailing address

137 S Main St

Waterbury, VT 05676-1579

Other names (DBA / former)

Doing business as: Family Physcial Therapy

Registry dates

Enumerated: 2010-06-11
Last updated: 2010-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.