Individual
MRS. JACQUELINE B. GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11 KILBURN ST, THE BODY CENTER, BURLINGTON, VT 05401-4750
(802) 865-9500
(802) 865-9559
Mailing address
11 KILBURN ST, THE BODY CENTER, BURLINGTON, VT 05401-4750
(802) 865-9500
(802) 865-9559
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007598
—
VT
01
—
375545
MVP
VT
01
—
4693301
FLETCHER ALLEN PREFERRED
VT
01
—
48377
TVHP/BC BS
VT
01
—
7792624
CIGNA
VT
Enumeration date
06/10/2006
Last updated
07/08/2007
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