Individual
GARRETT MANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BOULDERS PKWY, NORTH CHESTERFIELD, VA 23225-4067
(804) 330-8165
Mailing address
1819 N 29TH ST, RICHMOND, VA 23223
(571) 420-1269
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606322
VA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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