Individual provider · Type 1 NPI

Vicki Ellen Brungard, PTA

Physical Therapy Assistant · Williamsport, PA

NPI number 1114579075 Active

Practice location

1705 Warren Ave Ste 102
Williamsport, PA 17701

Call (570) 320-7470 Map

Fax (570) 320-7471

Mailing address

831 Mill Rd
Williamsport, PA 17702-8122

Other practice locations

  • 1705 Warren Ave Ste 102, Williamsport, PA 17701 · (570) 320-7470

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XTE1001946 (PA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

2 other providers at this address

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About NPI 1114579075

Vicki Ellen Brungard, PTA's National Provider Identifier is 1114579075, issued on Jul 11, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Williamsport, PA. The record was last updated on Jul 11, 2019.