Brandon Thomas Halstead, P.T.A

NPI #1194192245 in Newport, Vermont

Provider Information

NPI Number: 1194192245
Entity Type: Individual
Name: Brandon Thomas Halstead, P.T.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: P.T.A
Enumeration Date: Aug 25, 2015
Last Updated: Aug 25, 2015

Practice Location

Address: 35 BEL AIRE DR
City: Newport
State: Vermont
ZIP Code: 05855-4953
Phone: (802) 334-2878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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