Individual
JENNIFER ANN MANNISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8405 STREAMVIEW DR APT P, HUNTERSVILLE, NC 28078-6133
(585) 314-1811
Mailing address
8405 STREAMVIEW DR APT P, HUNTERSVILLE, NC 28078-6133
(585) 314-1811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15000
NC
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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