Individual
LISA MANTARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2100 EXETER RD, GERMANTOWN, TN 38138-3922
(901) 737-0887
Mailing address
2669 SWEET OAKS CIR, GERMANTOWN, TN 38138-6253
(901) 759-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3532
TN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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