Individual
EMILY J MACURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
28 4TH ST, FAIR HAVEN, VT 05743-1053
(802) 265-4055
(802) 265-8838
Mailing address
28 4TH ST, FAIR HAVEN, VT 05743-1053
(802) 265-4055
(802) 265-8838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033979-1
NY
225100000X
Physical Therapist
0400080434
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400072504
MEDICARE NUMBER
NY
Enumeration date
11/04/2011
Last updated
10/23/2015
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