PAMELA R KANICKI

JAMESTOWN, NY
NPI1669749768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  007966-1)
Enumeration Date2011-11-18
Last Update Date2014-01-10
Business Address
-- PAMELA R KANICKI PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668
Mailing Address
-- PAMELA R KANICKI PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668