Individual
KRISTINA DANIELLE MANRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E CURTIS ST, SIMPSONVILLE, SC 29681-2622
(864) 384-9545
Mailing address
102 MEMORY LN, MOORE, SC 29369-9757
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3704
SC
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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