Individual
DR. JEANINE MANISCALCO KICHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3 CHAMPLAIN CMNS STE 1, SAINT ALBANS, VT 05478-1563
(802) 524-1155
Mailing address
PO BOX 564, HUNTER, NY 12442-0564
(518) 965-3476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0130674
VT
Other
Enumeration date
05/10/2017
Last updated
01/03/2018
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