Individual
MICHELE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 MOUNTAIN RD, STOWE, VT 05672-5104
(802) 328-8217
Mailing address
332 FITZGERALD RD, MORRISVILLE, VT 05661-8912
(802) 598-7401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0103364
VT
Other
Enumeration date
08/02/2014
Last updated
11/04/2021
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