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Individual

MR. ANDREW GIFFORD MANCHESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 562-5450
(617) 562-5459
Mailing address
30 WINDSOR DR, WHITMAN, MA 02382-1050

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15612
MA

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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