Individual
AMANDA KLACZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75 EASTWOOD DR, SOUTH BURLINGTON, VT 05403-4402
(802) 860-0209
Mailing address
1 RIVER ST UNIT 201, MILTON, VT 05468-3867
(315) 882-8547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134306
VT
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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