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Individual

MICHAEL J MANNERAAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, MRS-PT

Contact information

Practice address
2125 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5879
(843) 573-1513
(843) 573-1511
Mailing address
2125 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5879
(843) 573-1513
(843) 573-1511

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4126
SC

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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