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Individual

ANDREW J MANNIKKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
8300 FALLS OF NEUSE RD., SUITE 104, RALEIGH, NC 27615-3450
(919) 846-9668
(919) 846-9663
Mailing address
8300 FALLS OF NEUSE RD., SUITE 104, RALEIGH, NC 27615-3450
(919) 846-9668
(919) 846-9663

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11754
NC

Other

Enumeration date
07/06/2009
Last updated
07/18/2011
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