Frederick Manzano

NPI 1669653564 - Physical Therapist - 225100000X

NPI Details
NPI 1669653564
Gender Male
Enumeration Date 11/19/2007
Last Updated 11/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1952 E 7000 S STE 100
SALT LAKE CITY UT, 84121-6878, US
Phone (801) 942-3311
Fax (801) 942-5955
Business Location
PO BOX 711185
SALT LAKE CITY UT, 84171-1185, US
Phone (801) 942-3311
Fax (801) 942-5955
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 28959
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According to our database, Frederick Manzano NPI is 1669653564, taxonomy code is 225100000X and license number is 28959, license state is located at California. Frederick Manzano physically located at 1952 E 7000 S Ste 100, Salt Lake City UT, 84121-6878. NPI Number Frederick Manzano has the Individual type.

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1669653564 NPI number is provided on an as is basis without warranty of any kind. 1669653564 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Manzano are for informational purposes only.