Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Vicki Ellen Brungard, PTA

Individual provider Physical Therapy Assistant · NPI 1114579075

Mrs. Vicki Ellen Brungard, PTA is a Physical Therapy Assistant in Williamsport, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1705 Warren Ave Ste 102
Williamsport, PA 17701
Phone: (570) 320-7470
Fax: (570) 320-7471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE1001946 (PA)

Record details

NPI number1114579075
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESJuly 11, 2019

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