Individual
AMANDA B MANNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
135 HANBURY RD W STE B, CHESAPEAKE, VA 23322-4291
(757) 819-6512
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP025055T
VA
225100000X
Physical Therapist
P21509
NC
Other
Enumeration date
08/09/2022
Last updated
01/19/2024
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