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1386020360
JONATHAN MANTOOTH
GREENVILLE, SC
NPI
1386020360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7862)
Enumeration Date
2015-08-03
Last Update Date
2015-08-03
Business Address
-- JONATHAN MANTOOTH D.P.T
41 PARK CREEK DR
GREENVILLE, SC 29605-4270
Phone number: 864-299-1600
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Mailing Address
-- JONATHAN MANTOOTH D.P.T
205 HUNTINGTON DR
LIBERTY, SC 29657-8935
Phone number:
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