IVA MANANQUIL

SUFFOLK, VA
NPI1013474881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605252)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
IVA MANANQUIL LPTA
2580 PRUDEN BLVD
SUFFOLK, VA 23434-4229
Phone number: 757-934-2363
Mailing Address
IVA MANANQUIL LPTA
3633 SMOKEY CHAMBER DR
VIRGINIA BEACH, VA 23462-6811
Phone number: 757-513-2146
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