Most Relevant Information
Provider Data
NPI Number: | 1003237561 |
Provider Name: | DANIEL KRAUCUNAS ATC |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | 104.0098621 |
Most Important Dates
Enumeration Date: | 12/30/2013 |
Last Updated: | 12/30/2013 |
Provider Practice Location
789 PINE ST
BURLINGTON
VT
054014933
Practice Location Phone/Fax
Phone: | 8022641052 |
Fax: | 8022641053 |
Provider Mailing Location
789 PINE ST
BURLINGTON
VT
054014933
Provider Mailing Phone/Fax
Phone: | 8022641052 |
Fax: | 8022641053 |