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1336366582
LISA MANTARO
GERMANTOWN, TN
NPI
1336366582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 3532)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- LISA MANTARO PT
2100 EXETER RD
GERMANTOWN, TN 38138-3922
Phone number: 901-737-0887
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Mailing Address
-- LISA MANTARO PT
2669 SWEET OAKS CIR
GERMANTOWN, TN 38138-6253
Phone number: 901-759-1016
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